Individual
NICOLE LYNN MOGILKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9330 W EDEN PL, MILWAUKEE, WI 53228-1552
(414) 378-1815
Mailing address
9330 W EDEN PL, MILWAUKEE, WI 53228-1552
(414) 378-1815
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5012-125
WI
Other
Enumeration date
07/13/2013
Last updated
01/19/2015
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