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Individual

CHARLENE WAHLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3040 93RD ST, STURTEVANT, WI 53177-2602
(414) 333-1256
Mailing address
1178 GARDNER STREET, TWO RIVERS, WI 54241
(920) 793-3100

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1116
WI

Other

Enumeration date
10/23/2014
Last updated
10/23/2014
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