Dahlk, Kathy Corlett

Dahlk, Kathy Corlett is an individual health care provider with primary practice located at 2363 S 102Nd Street Suite #203, West Allis WI 53227. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dahlk, Kathy Corlett can be contacted via phone (414) 545-1950.

Contact Information

Primary practice address
2363 S 102Nd Street Suite #203 West Allis WI 53227
Phone: (414) 545-1950
Fax: (414) 545-4168
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1148123 Wisconsin

Profile Details

NPI number 1477609907
LBN Legal business name Dahlk, Kathy Corlett
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477609907 NPPES
Wisconsin MEDICAID 40965000

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