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Individual

ROSE WORDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
36100 GENESEE LAKE RD, OCONOMOWOC, WI 53066-9201
(262) 569-5515
Mailing address
36100 GENESEE LAKE RD, OCONOMOWOC, WI 53066-9201
(262) 468-0637

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4818-125
WI

Other

Enumeration date
06/20/2017
Last updated
06/20/2017
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