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Individual

MS. ELSA L MANTHEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1049 N LYNNDALE DR, SUITE 1B, APPLETON, WI 54914-3050
(920) 731-9798
(920) 731-1097
Mailing address
1049 N LYNNDALE DR, SUITE 1B, APPLETON, WI 54914-3050
(920) 731-9798
(920) 731-1097

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2726-125
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39792800
WI
Enumeration date
08/01/2006
Last updated
10/09/2012
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