Search › Wisconsin › 101YP2500X
Caroline Chalk, LPC-IT, SAC-IT
NPI 1316531932 · on the registry since 2021
Practice
- Address
- 400 S Townline Rd
Wautoma, WI 54982 - Phone
- (920) 787-5514
- Organisation at this address
- La Clinica De Los Campesinos, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 48
Additional practice sites
- 302 W. Lake St, Friendship, WI
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YA0400X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-02-24
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