Woosencraft-Keeler, Ann Marie

Woosencraft-Keeler, Ann Marie is an individual health care provider with primary practice located at 1615 Barton Ave , West Bend WI 53090-2029. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Woosencraft-Keeler, Ann Marie can be contacted via phone (262) 334-5323.

Contact Information

Primary practice address
1615 Barton Ave West Bend WI 53090-2029
Phone: (262) 334-5323
Fax: (262) 334-4425
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 7081-123 Wisconsin

Profile Details

NPI number 1558473009
LBN Legal business name Woosencraft-Keeler, Ann Marie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Nov 22nd, 2010 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558473009 NPPES
Wisconsin MEDICAID 43593600

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