Individual
JOAN M WITTROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
414 BROADWAY ST STE 1, BARABOO, WI 53913-2488
(608) 774-8556
Mailing address
414 BROADWAY ST STE 1, BARABOO, WI 53913-2488
(608) 774-8556
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7053-226
WI
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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