Individual
MS. PRUDENCE TIPPINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
414 S EAST AVE, VIROQUA, WI 54665-2006
(608) 638-3332
Mailing address
414 S EAST AVE, VIROQUA, WI 54665-2006
(608) 638-3332
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/01/2018
Last updated
07/09/2020
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