Individual
LOUANNE PUFALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
2611 12TH ST S, WISCONSIN RAPIDS, WI 54494-6445
(715) 421-8844
(715) 421-2266
Mailing address
2611 12TH ST S, WISCONSIN RAPIDS, WI 54494-6445
(715) 421-8844
(715) 421-2266
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13773-132
WI
Other
Enumeration date
01/14/2008
Last updated
01/14/2008
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