Individual
MICHELLE COLLETTE MIRASOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
724 DENTON ST, LA CROSSE, WI 54601-5447
(920) 419-5317
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4769
—
Other
Enumeration date
05/31/2019
Last updated
05/31/2019
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