Mrs. Katherine H. Leibsle MSW
Full Name
Mrs. Katherine Helen Leibsle MSW
NPI Number
1720194186
NPI Type
Individual Provider
Gender
Female
Enumeration Date
08/21/2006
Specialties
(Taxonomies)Code
101YA0400X
1041C0700X
106H00000X
Primary Taxonomy
No
No
No
Licenses
State
Wisconsin
Wisconsin
License Number
3140-123
491-124
Contact
Information
Purpose
Mailing
Location
Address
155 N 90TH ST
16535 W BLUEMOUND RD
City
Milwaukee
Brookfield
State
WI
WI
Postal Code
53226-4509
53005-5936
Country
US
US
Telephone Number
N/A
(262) 789-1191
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/08/2007