TORY PHONSAVAN KOETTERHAGEN

WAUKESHA, WI
NPI1093281370
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WI  8075-123)
Enumeration Date2018-10-15
Last Update Date2018-10-15
Business Address
Mrs. TORY PHONSAVAN KOETTERHAGEN LCSW
W236S4564 WHISPERING HILLS CT
WAUKESHA, WI 53189-9772
Phone number: 414-467-6994
Mailing Address
Mrs. TORY PHONSAVAN KOETTERHAGEN LCSW
W236S4564 WHISPERING HILLS CT
WAUKESHA, WI 53189-9772
Phone number: 414-467-6994
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