Individual
KATHLEEN ERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSW
Contact information
Practice address
2116 CRAIG ROAD, EAU CLAIRE, WI 54701
(715) 858-4586
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5777
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
730
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39548800
—
WI
Enumeration date
09/26/2006
Last updated
07/08/2007
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