Individual
LISA A. MASCIOLA-GOOSTREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
307 W WARREN ST, TOMAH, WI 54660-1399
(608) 372-3109
Mailing address
307 WARREN STREET, TOMAH, WI 54660
(608) 372-3109
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8570
WI
Other
Enumeration date
12/11/2008
Last updated
12/11/2008
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