Individual
MICHELLE BOKNEVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., PC-IT, SAC-IT
Contact information
Practice address
600 W VIRGINIA ST, ATLAS BUILDING, SUITE 203, MILWAUKEE, WI 53204-1500
(414) 831-4500
Mailing address
600 W VIRGINIA ST, ATLAS BUILDING, SUITE 203, MILWAUKEE, WI 53204-1500
(414) 831-4500
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
16267-130
WI
Other
Enumeration date
03/17/2011
Last updated
03/17/2011
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