Individual
MRS. KATHLEEN ANN RYSER-DONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10045 W LISBON AVE, 302, WAUWATOSA, WI 53222-2446
(414) 358-7144
(414) 358-7158
Mailing address
906 E WATERFORD AVE, #2, MILWAUKEE, WI 53207-4562
(414) 294-0341
(414) 294-0341
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6754123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40982600
—
WI
Enumeration date
12/04/2006
Last updated
07/08/2007
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