Individual
KAILEEN MCMICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
11 E MARSHALL ST STE 203, RICE LAKE, WI 54868-1803
(715) 204-9095
Mailing address
2065 16 3/4 AVE, RICE LAKE, WI 54868-8706
(715) 204-9095
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3216-226
WI
Other
Enumeration date
09/20/2016
Last updated
10/07/2021
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