Individual
MS. HOLLY RAE PAGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1541 ANNEX RD, JEFFERSON, WI 53549-9803
(920) 674-8108
(920) 674-8114
Mailing address
1541 ANNEX RD, JEFFERSON, WI 53549-9803
(920) 674-8108
(920) 674-8114
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
7624-123
WI
1041C0700X
Clinical Social Worker
Primary
7624-123
WI
Other
Enumeration date
12/15/2009
Last updated
08/20/2013
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