Individual
ANNELIESE VANDRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
348 E MAIN ST, REEDSBURG, WI 53959-1940
(608) 843-3229
Mailing address
N4624 51ST ST, MAUSTON, WI 53948-9510
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2515-226
WI
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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