Individual
TERRI KADING-WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6233 DURAND AVE, SUITE F, RACINE, WI 53406-4961
(262) 554-8165
(262) 554-8152
Mailing address
2405 ERIE ST, RACINE, WI 53402-4443
(262) 632-2081
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
584-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39599300
—
WI
Enumeration date
01/24/2007
Last updated
07/08/2007
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