Curtis J Mallow, SAC

NPI #1235521907 in Wausau, Wisconsin

Provider Information

NPI Number: 1235521907
Entity Type: Individual
Name: Curtis J Mallow, SAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: SAC
Enumeration Date: Mar 4, 2015
Last Updated: Mar 4, 2015

Practice Location

Address: 741 N 1ST ST
City: Wausau
State: Wisconsin
ZIP Code: 54403-4721
Phone: (715) 675-3458

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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