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1619560992
KATHLEEN ROSE MACK
GLENDALE, WI
NPI
1619560992
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WI 9613-123)
Enumeration Date
2021-02-17
Last Update Date
2021-02-17
Business Address
KATHLEEN ROSE MACK LCSW
5555 N PORT WASHINGTON RD STE 200
GLENDALE, WI 53217-4927
Phone number: 262-789-1191
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Mailing Address
KATHLEEN ROSE MACK LCSW
2459 N 83RD ST
WAUWATOSA, WI 53213-1024
Phone number: 414-507-4730
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