Individual
MICHELLE SWENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
17 PARK PL, 400, APPLETON, WI 54914-8232
(920) 209-1765
Mailing address
17 PARK PL, 400, APPLETON, WI 54914-8232
(920) 733-8119
(920) 733-8190
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5449-125
WI
Other
Enumeration date
06/30/2015
Last updated
08/10/2015
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