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Individual

MR. RONALD JOHN HOUSSAYE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMFT

Contact information

Practice address
6040 W LISBON AVE, #102, MILWAUKEE, WI 53210-2116
(414) 871-9111
Mailing address
6199 N RIVER TRAIL DR, MILWAUKEE, WI 53225-1029
(414) 446-4991

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
725-124
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43592800
WI
Enumeration date
11/28/2008
Last updated
11/28/2008
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