Organization
CHILDREN'S HOSPITAL OF WISCONSIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATRINA MARIE KIEFER LPC (CHILD AND FAMILY THERAPIST II)
(262) 994-6884
Entity
Organization
Contact information
Practice address
8800 WASHINGTON AVE, MOUNT PLEASANT, WI 53406-3701
(262) 664-7423
Mailing address
8800 WASHINGTON AVE, MOUNT PLEASANT, WI 53406-3701
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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