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Individual

THERESA PATENAUDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
710 FRENCH ST STE B, PESHTIGO, WI 54157-1242
(920) 591-0029
Mailing address
710 FRENCH ST STE B, PESHTIGO, WI 54157-1242
(920) 591-0029

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6401223746
MI
101YP2500X
Professional Counselor
Primary
8419-125
WI

Other

Enumeration date
05/15/2021
Last updated
05/24/2024
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