Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 127272-121 | WI |
NPI | 1003166398 |
---|---|
Provider Name | Mrs. Kathleen Ann Arendt |
First Address | New Berlin, WI 53151-6751 |
Second Address | Milwaukee, WI 53202-1933 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2012 |
Last Update Date | 13/09/2012 |