Sosalla, Mary Therese
Sosalla, Mary Therese is an individual health care provider with primary practice located at 4811 S 76Th St # 305 , Greenfield WI 53220-4364. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Sosalla, Mary Therese can be contacted via phone (414) 325-7741.Contact Information
Primary practice address
4811 S 76Th St # 305
Greenfield WI 53220-4364
Phone: (414) 325-7741
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 180.011135 | Illinois |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 7323-125 | Wisconsin |
Profile Details
| NPI number | 1427598002 |
|---|---|
| LBN Legal business name | Sosalla, Mary Therese |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2017 |
| Last updated | Jul 9th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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