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Individual

MARY K SOKUP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMF

Contact information

Practice address
2005 HIGHLAND AVE, EAU CLAIRE, WI 54701-4455
(715) 832-5454
(715) 832-2991
Mailing address
2005 HIGHLAND AVE, EAU CLAIRE, WI 54701-4455
(715) 832-5454
(715) 832-2991

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
560124
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39777400
WI
01
54161
SECURITY HEALTH PLAN
WI
01
6275964
UBH
MN
01
637871026344
PRESBYTERIAN HEALTH PLAN
MN
01
8H016SO
BCBS MN
MN
Enumeration date
04/25/2006
Last updated
05/06/2008
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