Individual
SANDRA G. BETKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
10045 W LISBON AVE, WAUWATOSA, WI 53222-2446
(414) 359-7999
Mailing address
10045 W LISBON AVE, WAUWATOSA, WI 53222-2446
(414) 358-7999
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5557-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740531722
—
WI
Enumeration date
10/01/2012
Last updated
02/11/2015
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