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Individual

KATRINA RAE KRYCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APSW

Contact information

Practice address
4722 ACADEMY DR, MADISON, WI 53716-1450
(608) 215-5255
Mailing address
4722 ACADEMY DR, MADISON, WI 53716-1450
(608) 215-5255

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
133042
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1568153799
WI
Enumeration date
05/18/2023
Last updated
08/15/2023
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