Individual
LEAH ROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
W3275 WOLF RIVER ROAD, KESHENA, WI 54135-0970
(715) 799-5451
(715) 799-3929
Mailing address
PO BOX 970, KESHENA, WI 54135-0970
(715) 799-5451
(715) 799-3929
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3221-57
WI
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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