Individual
KATHY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5735 DURAND AVE, SUITE A, MOUNT PLEASANT, WI 53406-5011
(262) 598-1392
(262) 598-1395
Mailing address
5735 DURAND AVE, SUITE A, MOUNT PLEASANT, WI 53406-5011
(262) 598-1392
(262) 598-1395
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
154134-30
WI
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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