KATHLEEN BATES

KENOSHA, WI
NPI1437394327
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: WI  109-226)
Additional Taxonomies101Y00000X Counselor
(Licence: WI  61-228)
Enumeration Date2008-12-08
Last Update Date2008-12-08
Business Address
-- KATHLEEN BATES
6233 39TH AVE
KENOSHA, WI 53142-7015
Phone number: 262-654-1004
Mailing Address
-- KATHLEEN BATES
6233 39TH AVE
KENOSHA, WI 53142-7015
Phone number: 262-654-1004