Individual
BRITTANY LYNN LOUISE ELLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
N5367 MAYFLOWER RD, SHIOCTON, WI 54170-8934
(877) 300-9101
Mailing address
N5367 MAYFLOWER RD, SHIOCTON, WI 54170-8934
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5385-226
WI
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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