Individual
MS. MARY KATHERINE WOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
1407 SAINT ANDREW ST, LA CROSSE, WI 54603-3301
(160) 878-5626
(160) 878-5631
Mailing address
420 3RD AVE NW, SPRING GROVE, MN 55974-1210
(150) 749-8356
(999) 999-9999
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/26/2010
Last updated
02/26/2010
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