Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 131969-121 | WI |
NPI | 1003427931 |
---|---|
Provider Name | Kateri Swett |
First Address | Keshena, WI 54135-0970 |
Second Address | Keshena, WI 54135-9202 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2020 |
Last Update Date | 13/08/2020 |