Katherine M Theado LCSW

NPI 1174635213 - Social Worker - 1041C0700X

NPI Details
NPI 1174635213
Gender Female
Enumeration Date 08/31/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
10400 W NORTH AVE
SUITE 495
WAUWATOSA WI, 53226-2425, US
Phone (414) 777-3178
Fax (414) 777-3204
Business Location
10400 W NORTH AVE
SUITE 495
WAUWATOSA WI, 53226-2425, US
Phone (414) 777-3178
Fax (414) 777-3204
Toxanomy
Taxonomy Code 1041C0700X
License State Wisconsin
License Number 1421
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According to our database, Ms. Katherine M Theado LCSW NPI is 1174635213, taxonomy code is 1041C0700X and license number is 1421, license state is located at Wisconsin. Katherine M Theado LCSW physically located at 10400 W North Ave, Wauwatosa WI, 53226-2425. NPI Number Katherine M Theado LCSW has the Individual type.

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1174635213 NPI number is provided on an as is basis without warranty of any kind. 1174635213 is maintained by the National Plan & Provider Enumeration System. The contents of Katherine M Theado LCSW are for informational purposes only.