Individual
MR. DANIEL LEE KOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, CADC III
Contact information
Practice address
631 FOREST ST, WAUSAU, WI 54403-5524
(715) 842-0944
(715) 845-6477
Mailing address
631 FOREST ST, WAUSAU, WI 54403-5524
(715) 842-0944
(715) 845-6477
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2258-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39716300
—
WI
Enumeration date
07/02/2006
Last updated
07/08/2007
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