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NPI Code Detail

MEDICARE: MS. KAITLIN A MARSHALL

MEDICARE: MS. KAITLIN A MARSHALL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1235529710
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KAITLIN A MARSHALL
Provider Business Mailing Address
First Line : 34700 VALLEY RD
Second Line :
City : OCONOMOWOC
State : WI
Zip : 53066-4500
Country : US
Telephone Number : 262-646-4411
Fax Number : 262-646-1049
Provider Business Practice Location Address
First Line : 2424 S 102ND ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53227-2106
Country : US
Telephone Number : 800-767-4411
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2015
Last Update Date : 10/20/2025

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Directions to “ MS. KAITLIN A MARSHALL ” Practice Location

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