NPI Details | |
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NPI | 1467662890 |
Gender | Female |
Enumeration Date | 05/23/2007 |
Last Updated | 02/07/2011 |
Entity Type | Individual |
Active | Over 10 years ago |
Practice Location | |
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10475 STATE ROAD 27 HAYWARD WI, 54843-2000, US |
|
Phone | (715) 934-3677 |
Fax | (715) 934-3676 |
Business Location | |
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10475 STATE ROAD 27 SUITE 300 HAYWARD WI, 54843-2000, US |
|
Phone | (715) 934-3677 |
Fax | (715) 934-3676 |
Toxanomy | |
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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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