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Individual

MICHELLE CATHLEA ATTERBURY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, LMSW

Contact information

Practice address
1160 LINCOLN AVE, FENNIMORE, WI 53809-1746
(608) 822-5052
(608) 822-0131
Mailing address
710 2ND ST, BLOOMINGTON, WI 53804-9650
(608) 379-3373

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
131356-121
WI
1041C0700X
Clinical Social Worker
Primary
10105
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30762
WI
Enumeration date
04/27/2019
Last updated
01/30/2024
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