Individual
CORI SANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2607 N GRANDVIEW BLVD STE 110, WAUKESHA, WI 53188-1690
(262) 313-8339
Mailing address
S51W22996 PARTRIDGE LN, WAUKESHA, WI 53189-9767
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5354-226
WI
101Y00000X
Counselor
—
—
Other
Enumeration date
06/02/2022
Last updated
07/08/2022
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