KATHERINE LUCAS TACKES

OCONOMOWOC, WI
NPI1871826305
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WI  7560-123)
Enumeration Date2009-09-16
Last Update Date2009-09-16
Business Address
Ms. KATHERINE LUCAS TACKES LCSW
436 SUMMIT AVE
OCONOMOWOC, WI 53066-3749
Phone number: 262-719-3841
Mailing Address
Ms. KATHERINE LUCAS TACKES LCSW
436 SUMMIT AVE
OCONOMOWOC, WI 53066-3749
Phone number: 262-719-3841
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