Individual
KATHERINE IRENE LAUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
122 E OLIN AVE, MADISON, WI 53713-1487
(608) 262-1111
Mailing address
1940 E MAIN ST, MADISON, WI 53704-5228
(612) 730-1445
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
130435-121
WI
Other
Enumeration date
06/20/2017
Last updated
06/20/2017
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