Individual
MONICA LILLIAN CUMMINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7751 5TH AVE, KENOSHA, WI 53143-6006
(262) 237-2774
Mailing address
7751 5TH AVE, KENOSHA, WI 53143-6006
(262) 237-2774
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
18975-130
WI
Other
Enumeration date
05/18/2020
Last updated
05/18/2020
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