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Individual

CATHERINE J GIETZEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
4434 N MARYLAND AVE, MILWAUKEE, WI 53211-1651
(414) 828-1569
Mailing address
4434 N MARYLAND AVE, MILWAUKEE, WI 53211-1651
(414) 828-1569

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
805-124
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1649400532
WI
Enumeration date
07/26/2009
Last updated
09/11/2010
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