Individual
MARY T PAULI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
111 W FULTON ST, EDGERTON, WI 53534-1876
(608) 561-6614
(608) 561-6642
Mailing address
11101 N SHERMAN RD, EDGERTON, WI 53534-9002
(608) 884-3441
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
180.010034
IL
101YM0800X
Mental Health Counselor
Primary
7545-125
WI
Other
Enumeration date
03/04/2020
Last updated
06/11/2025
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