Individual
ALYSSA MARIE MISSELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
N13682 665TH ST, RIDGELAND, WI 54763-9655
(715) 651-9762
Mailing address
N13682 665TH ST, RIDGELAND, WI 54763-9655
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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