Katelynn Dora Wussow

NPI #1225781909 in Lacrosse, Wisconsin

Provider Information

NPI Number: 1225781909
Entity Type: Individual
Name: Katelynn Dora Wussow
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Feb 1, 2022
Last Updated: Feb 1, 2022

Practice Location

Address: 901 CALEDONIA STREET
City: Lacrosse
State: Wisconsin
ZIP Code: 54603-2616
Phone: (608) 785-4100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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