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Individual

SADIE CHEYENNE WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC-IT

Contact information

Practice address
5750 W GRANDE MARKET DR STE A, APPLETON, WI 54913-8406
(920) 903-1060
Mailing address
214 S ONTARIO ST, DE PERE, WI 54115-2931
(920) 471-9872

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
05/26/2020
Last updated
05/26/2020
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