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Individual

JILL NICOLE DELIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
10150 W NATIONAL AVE STE 315, WEST ALLIS, WI 53227-2145
(414) 545-4430
(414) 545-4454
Mailing address
10150 W NATIONAL AVE, SUITE 315, WEST ALLIS, WI 53227-2153
(262) 668-8870
(414) 310-0560

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4160-226
WI
101YP2500X
Professional Counselor
4160-226
WI
103T00000X
Psychologist
Primary
4043-57
WI

Other

Enumeration date
06/11/2019
Last updated
10/30/2024
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