Individual
MIRACLE HERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2901 35TH ST LOWR SUITEB, KENOSHA, WI 53140-5117
(262) 764-2459
Mailing address
2901 35TH ST LOWR SUITEB, KENOSHA, WI 53140-5117
(262) 764-2459
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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