Individual
MS. JUDITH ANN MARET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
20700 WATERTOWN RD, SUITE 102, WAUKESHA, WI 53186-1800
(262) 782-1474
(262) 782-1441
Mailing address
2019 N 83RD ST, WAUWATOSA, WI 53213-1605
(262) 227-1992
(262) 782-1441
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4861-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84043
MEDICARE
WI
Enumeration date
08/14/2012
Last updated
08/14/2012
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