Individual
MRS. KATHLEEN D PAMMER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPC, CADC
Contact information
Practice address
620 N 12TH AVE, STURGEON BAY, WI 54235-1249
(920) 743-9554
Mailing address
620 N 12TH AVE, STURGEON BAY, WI 54235-1249
(920) 743-9554
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3104-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43589400
—
WI
Enumeration date
02/23/2006
Last updated
07/08/2007
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