MS. KATHERINE TACKES, LCSW

Social Worker - Clinical

Active Individual
NPI: 1871826305

Practice Address

436 SUMMIT AVE
Oconomowoc, WI 53066

Phone: (262) 719-3841

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes 7560-123 (WI)

Frequently Asked Questions

NPI 1871826305 is the National Provider Identifier for MS. KATHERINE TACKES, LCSW, a Social Worker - Clinical provider located in Oconomowoc, WI. This NPI was enumerated on September 16, 2009.
MS. KATHERINE TACKES, LCSW practices at 436 SUMMIT AVE, Oconomowoc, WI 53066.

Quick Facts

NPI
1871826305
Type
Individual
Enumerated
Sep 16, 2009
Last Updated
Sep 16, 2009

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