Individual
MRS. KATIE L MASKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC, ICS-IT
Contact information
Practice address
540 COLLEGE ST, MEDFORD, WI 54451-2027
(715) 748-3332
Mailing address
540 COLLEGE ST, MEDFORD, WI 54451-2027
(715) 748-3332
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/20/2022
Last updated
04/21/2022
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