Individual
MIRANDA J REITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
631 FOREST ST, WAUSAU, WI 54403-5524
(715) 842-0944
Mailing address
2172 OREGON TRL, KRONENWETTER, WI 54455-7235
(715) 573-9163
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7341-226
WI
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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