Search › Wisconsin › 1041C0700X
Marie Basty, LICENSED CLINICAL SO
NPI 1992912422 · on the registry since 2007
Practice
- Address
- Lac Courte Oreilles Community Health Center
13380 W Trepania Road
Hayward, WI 54843 - Phone
- (715) 638-5100
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-03-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin