Individual
MARY ENRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1720 W FLORIST AVE STE 125, GLENDALE, WI 53209-3862
(414) 247-0801
(141) 247-0816
Mailing address
1720 W FLORIST AVE STE 125, GLENDALE, WI 53209-3862
(414) 247-0801
(141) 247-0816
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2180-226
WI
103T00000X
Psychologist
Primary
3542-57
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2180-226
LICENSE
WI
Enumeration date
08/07/2014
Last updated
02/05/2018
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