Individual
KATHRYNN M MABALOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1020 N 12TH ST, MILWAUKEE, WI 53233-1308
(414) 519-5455
Mailing address
1020 N 12TH ST, MILWAUKEE, WI 53233-1308
(414) 519-5455
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3723-226
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/20/2014
Last updated
01/03/2022
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