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1174385256
NATASHA SUZANNE MALLAK
WAUSAU, WI
NPI
1174385256
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TS0200X Psychologist School
(Licence: WI 3001023842)
Enumeration Date
2024-01-25
Last Update Date
2024-01-25
Business Address
NATASHA SUZANNE MALLAK ED.S.
630 S 36TH AVE
WAUSAU, WI 54401-3930
Phone number: 715-842-9500
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Mailing Address
NATASHA SUZANNE MALLAK ED.S.
630 S 36TH AVE
WAUSAU, WI 54401-3930
Phone number: 715-842-9500
Copy
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