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
Fax: (262) 567-5560
Website:

Health care specialties

SpecialtyCodeLicense #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 15 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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