Individual
KATHLEEN RAE ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
N3702 SHATTUCK ST, MEDFORD, WI 54451-8760
(715) 965-1968
Mailing address
N3702 SHATTUCK ST, MEDFORD, WI 54451-8760
(715) 965-1968
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
899-58
WI
Other
Enumeration date
05/28/2015
Last updated
05/28/2015
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