Individual
LINDA KELLY HOLDER-WILTZIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1545 S LAYTON BLVD, MILWAUKEE, WI 53215-1924
(414) 902-1500
Mailing address
1545 S LAYTON BLVD, MILWAUKEE, WI 53215-1924
(414) 902-1500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3551-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43590500
—
WI
Enumeration date
07/12/2007
Last updated
07/12/2007
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