Individual
KATHERINE MERIDETH BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3510 PARMENTER ST, MIDDLETON, WI 53562-1522
(920) 650-4879
Mailing address
202 HUNTERS GLEN LN, JOHNSON CREEK, WI 53038-9560
(515) 360-8704
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
552-228
WI
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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