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Individual

RICHELLE MASTALIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
403 N GRAND AVE, WAUKESHA, WI 53186-4913
(262) 443-0298
Mailing address
2435 S 69TH ST # AT, WEST ALLIS, WI 53219-1913
(262) 719-9697

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18296
WI

Other

Enumeration date
10/16/2018
Last updated
10/16/2018
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