SearchWisconsin1041C0700X

Johanna Manthey, LCSW

NPI 1033560016 · on the registry since 2016 · sole proprietor

Practice

Address
74 S Main St Ste 103
Fond Du Lac, WI 54935
Phone
(920) 204-1572
Clinicians at this address
8

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-06-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin