Individual
COLLEEN RUNGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
6040 W LISBON AVE, MILWAUKEE, WI 53210-2116
(414) 442-1751
Mailing address
6040 W LISBON AVE, MILWAUKEE, WI 53210-2116
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3793-226
WI
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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