Individual
CATINA M ODUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
15923-130
Contact information
Practice address
3707 N RICHARDS ST, MILWAUKEE, WI 53212-1673
(414) 967-7006
(414) 976-7020
Mailing address
3707 N RICHARDS ST, MILWAUKEE, WI 53212-1673
(414) 967-7006
(414) 976-7020
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15923-130
WI
Other
Enumeration date
06/22/2016
Last updated
06/22/2016
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