Individual
KATERRI JEAN SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAC
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
15994
WI
101Y00000X
Counselor
303277
MN
Other
Enumeration date
09/26/2013
Last updated
09/20/2018
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