Donna Jean Kettner LCSW

NPI 1619158151 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1619158151
Gender Female
Enumeration Date 11/26/2007
Last Updated 11/27/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
409 COUNTY ROAD R
BLACK RIVER FALLS WI, 54615-5129, US
Phone (715) 284-9477
Fax (715) 284-5547
Business Location
66 E 3RD ST
201
WINONA MN, 55987-3478, US
Phone (507) 452-7292
Fax (507) 457-9887
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
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According to our database, Donna Jean Kettner LCSW NPI is 1619158151, taxonomy code is 171M00000X Donna Jean Kettner LCSW physically located at 409 County Road R, Black River Falls WI, 54615-5129. NPI Number Donna Jean Kettner LCSW has the Individual type.

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1619158151 NPI number is provided on an as is basis without warranty of any kind. 1619158151 is maintained by the National Plan & Provider Enumeration System. The contents of Donna Jean Kettner LCSW are for informational purposes only.