Individual
DANIELLE KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3410 W LISBON AVE, MILWAUKEE, WI 53208-1948
(414) 339-0287
Mailing address
1316 N 64TH ST, WAUWATOSA, WI 53213-2930
(847) 361-3784
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8822-123
WI
Other
Enumeration date
03/08/2019
Last updated
03/08/2019
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