Individual
LISA BREDAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1095 MIDWAY RD, MENASHA, WI 54952-1115
(920) 720-2300
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 720-2300
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3081
WI
Other
Enumeration date
12/15/2006
Last updated
11/30/2023
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