Tory Koetterhagen's National Provider Identifier (NPI) Details
Tory Koetterhagen, LCSW
NPI: 1093281370
Enumeration Date: 2018-10-15
Last updated: 2018-10-15
Sole Proprietor: YES
Status: active
Postal Address: W236S4564 WHISPERING HILLS CT, WAUKESHA, WI
Phone: 414-467-6994
Primary Practice Address: W236S4564 WHISPERING HILLS CT, WAUKESHA, WI
Practice's phone: 414-467-6994