Individual
MARY J CORTESI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6938-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13G81CO
BCBS-MN
MN
05
—
39769800
—
WI
Enumeration date
08/22/2006
Last updated
05/21/2012
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