Katherine M Theado, LCSW
Social Worker, Clinical in Wauwatosa, WI. Individual provider (NPI-1).
NPI number1174635213
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1174635213
- Entity type
- Individual (NPI-1)
- Name
- Ms. Katherine M Theado
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2006
- Last updated
- Jul 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 1421 | WI | Yes |
Practice location
10400 W North AveSuite 495
Wauwatosa, WI 53226-2425
Phone 414-777-3178 · Fax 414-777-3204
Mailing address
10400 W North AveSuite 495
Wauwatosa, WI 53226-2425
Phone 414-777-3178 · Fax 414-777-3204
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All 93 Clinical Social Worker providers in Wauwatosa · All 2,300 providers in Wauwatosa
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