Individual
DANIELLE MELISSA OSBORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
514 RIVERVIEW AVE, WAUKESHA, WI 53188-3631
(262) 548-7666
Mailing address
514 RIVERVIEW AVE, WAUKESHA, WI 53188-3631
(262) 548-7666
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
1015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100030709
—
WI
Enumeration date
06/05/2013
Last updated
04/13/2016
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