Individual
RENEE M. MILLWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
15655 COUNTY HIGHWAY B, HAYWARD, WI 54843
(715) 634-0607
(715) 634-0617
Mailing address
PO BOX 13251, 15655 COUNTY HWY B, HAYWARD, WI 54843
(715) 634-0607
(715) 634-0617
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2103-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2103-123
LICENSE NUMBER
WI
05
—
39686500
—
WI
Enumeration date
01/30/2007
Last updated
05/16/2008
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