Individual
LISA DEDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
480 UNDERWOOD AVE, MONTELLO, WI 53949-9248
(608) 297-3181
Mailing address
480 UNDERWOOD AVE, MONTELLO, WI 53949-9248
(608) 297-3181
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2416-226
WI
Other
Enumeration date
02/29/2016
Last updated
05/09/2016
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