Individual
DEIRDRE LEE KOZLOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6040 W LISBON AVE, SUITE 102, MILWAUKEE, WI 53210-2116
(414) 871-9111
(414) 871-9121
Mailing address
944 N 37TH ST LOWR, MILWAUKEE, WI 53208-3101
(414) 933-7389
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
148-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
391-95-700
—
WI
Enumeration date
01/04/2007
Last updated
07/09/2007
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