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Individual

KATHRYN ENDSLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
4200 S LAKE DR UNIT 134, ST FRANCIS, WI 53235-5962
(920) 627-8050
Mailing address
4200 S LAKE DR UNIT 134, ST FRANCIS, WI 53235-5962

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8434-125
WI
225C00000X
Rehabilitation Counselor
00342392
WI

Other

Enumeration date
01/26/2023
Last updated
01/26/2023
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