Organization
MINDFUL HEALING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLY MARIE WITKOWIAK LCSW (CO-OWNER)
(414) 899-0793
Entity
Organization
Contact information
Practice address
335 WRIGLEY DR, LAKE GENEVA, WI 53147-2034
(414) 899-0793
Mailing address
335 WRIGLEY DR, LAKE GENEVA, WI 53147-2034
(414) 899-0793
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/04/2022
Last updated
02/04/2022
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