Female

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

Provider Address