Susan L Kettler MSSW, LCSW

NPI 1467662890 - Counselor - 101YA0400X

NPI Details
NPI 1467662890
Gender Female
Enumeration Date 05/23/2007
Last Updated 02/07/2011
Entity Type Individual
Active Over 9 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
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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.