Individual
MELISSA TRAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1508 NEW PINERY RD, PORTAGE, WI 53901-1312
(608) 745-4900
Mailing address
407 VOLK ST, PORTAGE, WI 53901-1349
(608) 415-0463
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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