Tackes, Katherine Lucas
Tackes, Katherine Lucas is an sole proprietor health care provider with primary practice located at 436 Summit Ave , Oconomowoc WI 53066-3749. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Tackes, Katherine Lucas can be contacted via phone (262) 719-3841.Contact Information
Primary practice address
436 Summit Ave
Oconomowoc WI 53066-3749
Phone: (262) 719-3841
Fax: (262) 567-5560
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 7560-123 | Wisconsin |
Profile Details
| NPI number | 1871826305 |
|---|---|
| LBN Legal business name | Tackes, Katherine Lucas |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 16th, 2009 |
| Last updated | Sep 16th, 2009 - about 16 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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