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Individual

NICOLE HOUDEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10 TOWER DR, SUN PRAIRIE, WI 53590-1239
(608) 825-3008
(608) 825-3794
Mailing address
10 TOWER DR, SUN PRAIRIE, WI 53590-1239
(608) 825-3008
(608) 825-3794

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3283
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40937000
WI
01
61086
DEAN HEALTH INSURANCE
WI
Enumeration date
05/01/2007
Last updated
10/15/2010
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