Doctor Name: | MS. ELAINE CATHERINE KLUTH |
NPI Number: | 1750476990 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 7039123 |
Business Practice Address: | 820 Arbutus Ave Oconto, WI - 541532004 |
Business Phone Number: | 9208355500 |
Business Fax Number: | 9204457289 |
Mailing Address: | Po Box 22040, GREEN BAY |
State: | WI |
Postal Code: | 543052040 |
Phone Number: | 9204457226 |
Fax Number: | 9204457289 |
NPI Enumeration Date: | 10/04/2006 |
NPI Last Update Date: | 06/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 7039123 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |