Individual
MS. KATHLEEN M O NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Contact information
Practice address
129 HOSPITAL DR, WATERTOWN, WI 53098-3334
(920) 262-4800
(920) 262-4813
Mailing address
129 HOSPITAL DR, WATERTOWN, WI 53098-3334
(920) 262-4800
(920) 262-4813
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6684123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39794300
—
WI
Enumeration date
12/09/2005
Last updated
09/28/2015
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