Individual
MRS. CYNTHIA ANN MIDCALF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SAC
Contact information
Practice address
325 FOREST GROVE DR, SUITE 201, PEWAUKEE, WI 53072-3793
(262) 691-2980
(262) 691-2972
Mailing address
325 FOREST GROVE DR, SUITE 201, PEWAUKEE, WI 53072-3793
(262) 691-2980
(262) 691-2972
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15387131
WI
Other
Enumeration date
02/29/2008
Last updated
11/18/2008
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