Individual
MRS. JEAN M MEIDENBAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LPC
Contact information
Practice address
635 MUELLER ST, HARTFORD, WI 53027
(262) 224-7006
(262) 397-8023
Mailing address
635 MUELLER ST, HARTFORD, WI 53027
(262) 224-7006
(262) 397-8023
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3716125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43703000
—
WI
Enumeration date
12/13/2006
Last updated
05/12/2008
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