| Children's Hospital Of Wisconsin | |
|
8800 Washington Ave Mount Pleasant WI 53406-3701 | |
| (262) 664-7423 | |
| Not Available |
| Full Name | Children's Hospital Of Wisconsin |
|---|---|
| Speciality | Counselor - Professional |
| Location | 8800 Washington Ave, Mount Pleasant, Wisconsin |
| Authorized Official Name and Position | Katrina Marie Kiefer (CHILD AND FAMILY THERAPIST II) |
| Authorized Official Contact | 2629946884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Hospital Of Wisconsin 8800 Washington Ave Mount Pleasant WI 53406-3701 Ph: () - | Children's Hospital Of Wisconsin 8800 Washington Ave Mount Pleasant WI 53406-3701 Ph: (262) 664-7423 |
| NPI Number | 1962003707 |
|---|---|
| Provider Enumeration Date | 11/06/2020 |
| Last Update Date | 11/06/2020 |
| Certification Date | 11/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962003707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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