Individual
MADELINE MARIE BETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
4600 GREEN BAY RD, KENOSHA, WI 53144-1719
(708) 738-6077
Mailing address
709 15TH AVE, UNION GROVE, WI 53182-1438
(708) 738-6077
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
WI
Other
Enumeration date
02/26/2026
Last updated
02/26/2026
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