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Organization
MINDFUL BALANCE INTEGRATED WEIGHT LOSS AND WELLNESS
Active
Organization
MINDFUL BALANCE INTEGRATED WEIGHT LOSS AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA BOOE-DRAPER (OFFICE MANAGER)
(262) 287-1999
Entity
Organization
Contact information
Practice address
6032 40TH AVE, KENOSHA, WI 53142-7018
(262) 900-8186
(262) 287-0884
Mailing address
6032 40TH AVE, KENOSHA, WI 53142-7018
(262) 900-8186
(262) 287-0884
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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