Individual
MRS. MARY A. KUSZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
10045 W LISBON AVE, 5757 W. OKLAHOMA AVE., MILWAUKEE, WI 53222-2446
(414) 358-7999
Mailing address
10045 W LISBON AVE, 5757 WEST OKLAHOMA AVENUE, #201, MILWAUKEE, WI 53222-2446
(414) 358-7144
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15865-131
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15949-132
WI
Other
Enumeration date
05/30/2014
Last updated
04/04/2016
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