Individual
KATIE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3090 N 53RD ST, MILWAUKEE, WI 53210-1617
(414) 305-7399
(414) 962-2305
Mailing address
2186 S ROBINSON AVE, MILWAUKEE, WI 53207-1336
(414) 305-9507
(414) 962-2305
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1752-226
WI
Other
Enumeration date
11/04/2014
Last updated
10/07/2019
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