Organization
THE THERESIAN INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRELLA ELISA SACILOTTO-SHARKEY PH.D. (VICE PRESIDENT)
(414) 223-4748
Entity
Organization
Contact information
Practice address
1840 N FARWELL AVE, SUITE 202, MILWAUKEE, WI 53202-1792
(414) 223-4748
Mailing address
1840 N FARWELL AVE, SUITE 202, MILWAUKEE, WI 53202-1792
(414) 223-4748
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
1760
WI
Other
Enumeration date
06/08/2007
Last updated
08/22/2020
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