Individual
MICHELLE J DAMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
418 E WISCONSIN AVE, OCONOMOWOC, WI 53066-3040
(414) 429-6403
Mailing address
667 E LAKE ST, LAKE MILLS, WI 53551-1738
(920) 366-2597
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4423-226
WI
Other
Enumeration date
08/02/2019
Last updated
08/02/2019
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