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Individual
MACARENA CORREA VILLA
Active
Individual
MACARENA CORREA VILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
7296-226
WI
101YP2500X
Professional Counselor
Primary
11472-125
WI
Other
Enumeration date
03/06/2023
Last updated
01/07/2025
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