KATHLEEN ROSE MACK

GLENDALE, WI
NPI1619560992
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WI  9613-123)
Enumeration Date2021-02-17
Last Update Date2021-02-17
Business Address
KATHLEEN ROSE MACK LCSW
5555 N PORT WASHINGTON RD STE 200
GLENDALE, WI 53217-4927
Phone number: 262-789-1191
Mailing Address
KATHLEEN ROSE MACK LCSW
2459 N 83RD ST
WAUWATOSA, WI 53213-1024
Phone number: 414-507-4730