Individual
MRS. KATELYN MARIE RYAN MAZEIKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, CAPSW, CBIS
Contact information
Practice address
945 N 12TH ST, SUITE 101, MILWAUKEE, WI 53233-1305
(651) 271-6738
Mailing address
6100 W STATE ST, APT. 313, MILWAUKEE, WI 53213-2983
(651) 271-6738
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
129421
WI
104100000X
Social Worker
24914
MN
1041S0200X
School Social Worker
940710
MN
Other
Enumeration date
05/25/2016
Last updated
05/25/2016
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