Katie Marie Marquardt

NPI #1154672889 in Shawano, Wisconsin

Provider Information

NPI Number: 1154672889
Entity Type: Individual
Name: Katie Marie Marquardt
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Sep 20, 2012
Last Updated: Sep 20, 2012

Practice Location

Address: 504 LAKELAND RD
City: Shawano
State: Wisconsin
ZIP Code: 54166-3836
Phone: (715) 526-5547

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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