Individual
MRS. MICHELLE WISNESKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
821 E 1ST AVE, SUITE 5, APPLETON, WI 54911-1586
(920) 257-4601
Mailing address
1068 SANDPOINT RDG, NEENAH, WI 54956-5639
(920) 574-5946
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
127-3605381
WI
Other
Enumeration date
04/04/2011
Last updated
04/04/2011
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