Individual
KATHERINE WAKEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9120 W LOOMIS RD STE 400, FRANKLIN, WI 53132-9083
(833) 646-3222
(833) 646-3222
Mailing address
142 E 16TH ST APT 12E, NEW YORK, NY 10003-3507
(833) 646-3222
(833) 646-3222
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-54531
WI
Other
Enumeration date
12/17/2021
Last updated
10/25/2023
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