Kimberlee M Moster LPC

NPI 1154438562 - Counselor - 101Y00000X

NPI Details
NPI 1154438562
Gender Female
Enumeration Date 08/23/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
6015 DURAND AVE
#400
RACINE WI, 53406-5044, US
Phone (262) 554-0205
Fax (262) 554-0429
Business Location
3301 W FOREST HOME AVE
MILWAUKEE WI, 53215-2843, US
Phone (414) 647-6326
Fax (414) 671-8860
Toxanomy
Taxonomy Code 101Y00000X
License State Wisconsin
License Number 2816-125
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According to our database, Ms. Kimberlee M Moster LPC NPI is 1154438562, taxonomy code is 101Y00000X and license number is 2816-125, license state is located at Wisconsin. Kimberlee M Moster LPC physically located at 6015 Durand Ave, Racine WI, 53406-5044. NPI Number Kimberlee M Moster LPC has the Individual type.

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1154438562 NPI number is provided on an as is basis without warranty of any kind. 1154438562 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberlee M Moster LPC are for informational purposes only.