Organization
ICF CONSULTANTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARILYN BONJEAN LMFT (CLINIC DIRECTOR)
(414) 273-2220
Entity
Organization
Contact information
Practice address
1524 N FARWELL AVE, MILWAUKEE, WI 53202-2329
(414) 273-2220
(414) 273-2223
Mailing address
1524 N FARWELL AVE, MILWAUKEE, WI 53202-2329
(414) 273-2220
(414) 273-2223
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
603124
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40940200
—
WI
Enumeration date
01/19/2007
Last updated
08/22/2020
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