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Individual

SUSAN NOLTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
11512 N PORT WASHINGTON RD STE 201G, MEQUON, WI 53092-3456
(414) 502-9878
Mailing address
124 W FREISTADT RD, PO BOX 665, THIENSVILLE, WI 53092

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
777-124
WI

Other

Enumeration date
05/16/2019
Last updated
05/16/2019
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