Ms. Kathleen G. Koepke MSSW, LICSW
Mental Health Counselor in Wautoma, WI(View on Map)
Full Name
Ms. Kathleen Gussler Koepke MSSW, LICSW
NPI Number
1295834539
NPI Type
Individual Provider
Gender
Female
Enumeration Date
09/22/2006
Specialties
(Taxonomies)Licenses
State
Wisconsin
Wisconsin
License Number
2337
2337-123
Contact
Information
Purpose
Mailing
Location
Address
230 PARK ST
230 W PARK ST
City
Wautoma
Wautoma
State
WI
WI
Postal Code
54982-9031
54982-9031
Country
US
US
Telephone Number
(920) 787-6550
(920) 787-6550
Identifiers
Identifier
39654800
84306005
Identifier State
WI
WI
Identifier Issuer
Unknown
MEDICARE
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/09/2015
Provider Address
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Kate Onsgard MS, LPC, CSAC-IT
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