Individual
LUCERO MICHELLE MONTALVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
W156N8327 PILGRIM RD, MENOMONEE FALLS, WI 53051
(262) 251-1112
Mailing address
W156N8327 PILGRIM RD, MENOMONEE FALLS, WI 53051-3776
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5026226
WI
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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