Individual
MRS. MIRANDA SCHRAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
400 W RIVER DR, WEST BEND, WI 53090-1518
(262) 346-3559
Mailing address
224 S UNIVERSITY DR APT 103, WEST BEND, WI 53095-2992
(414) 708-5655
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7178-226
WI
Other
Enumeration date
02/23/2023
Last updated
02/23/2023
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