Individual
ANNELIESE SKODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 4TH ST N, LA CROSSE, WI 54601-3228
(608) 785-6125
Mailing address
300 4TH ST N, LA CROSSE, WI 54601-3228
(608) 785-6125
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15781
WI
1041C0700X
Clinical Social Worker
Primary
9338-120
WI
Other
Enumeration date
05/27/2011
Last updated
11/18/2014
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