Individual
NANCY E. PELOQUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1000 STARR AVE, EAU CLAIRE, WI 54703-1821
(715) 858-4850
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
184-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39524300
—
WI
Enumeration date
05/25/2007
Last updated
04/01/2010
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