Individual
VIVIAN SWEETHEART BISHOP-COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2920 SOUTH WEBSTER AVE, GREEN BAY, WI 54301
(920) 632-4471
(920) 632-4315
Mailing address
625 KNOLL TER, DE PERE, WI 54115-3321
(920) 713-4632
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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