MS. Katherine Lucas Tackes, LCSW
NPI #1871826305 in Oconomowoc, Wisconsin
Provider Information
- NPI Number
- 1871826305
- Entity Type
- Individual
- Name
- MS. Katherine Lucas Tackes, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Sep 16, 2009
- Last Updated
- Sep 16, 2009
Practice Location
- Address
- 436 SUMMIT AVE
- City
- Oconomowoc
- State
- Wisconsin
- ZIP Code
- 53066-3749
- Phone
- (262) 719-3841
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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