Individual
KATIE C JURIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2727 MARSHALL CT, MADISON, WI 53705-2255
(608) 238-9354
(608) 238-7675
Mailing address
2727 MARSHALL CT, MADISON, WI 53705-2255
(608) 238-9354
(608) 238-7675
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
8457
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8457-125
STATE OF WI LICENSE
WI
Enumeration date
06/14/2022
Last updated
06/14/2022
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