Individual
MICHELLE RUSHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1541 ANNEX RD, JEFFERSON, WI 53549-9803
(920) 674-3105
Mailing address
1541 ANNEX RD, JEFFERSON, WI 53549-9803
(920) 674-3105
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
11451
WI
Other
Enumeration date
12/30/2019
Last updated
10/12/2023
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