Individual
MRS. CHERYL MCMAHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2483 28TH ST, RICE LAKE, WI 54868-9098
(715) 415-5626
Mailing address
2483 28TH ST, RICE LAKE, WI 54868-9098
(715) 415-5626
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
WI
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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