| NPI Details | |
|---|---|
| NPI | 1467662890 |
| Gender | Female |
| Enumeration Date | 05/23/2007 |
| Last Updated | 02/07/2011 |
| Entity Type | Individual |
| Active | Over 10 years ago |
| Practice Location | |
|---|---|
| 10475 STATE ROAD 27 HAYWARD WI, 54843-2000, US |
|
| Phone | (715) 934-3677 |
| Fax | (715) 934-3676 |
| Business Location | |
|---|---|
| 10475 STATE ROAD 27 SUITE 300 HAYWARD WI, 54843-2000, US |
|
| Phone | (715) 934-3677 |
| Fax | (715) 934-3676 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 101YA0400X |
| License State | Wisconsin |
| License Number | 13070 |
| Remove 1467662890 NPI Number | |
According to our database, Susan L Kettler MSSW, LCSW NPI is 1467662890, taxonomy code is 101YA0400X and license number is 13070, license state is located at Wisconsin. Susan L Kettler MSSW, LCSW physically located at 10475 State Road 27, Hayward WI, 54843-2000. NPI Number Susan L Kettler MSSW, LCSW has the Individual type.
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1467662890 NPI number is provided on an as is basis without warranty of any kind. 1467662890 is maintained by the National Plan & Provider Enumeration System. The contents of Susan L Kettler MSSW, LCSW are for informational purposes only.
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