Individual
DR. MIA NUNEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1291 ORCHARD CIR, OCONOMOWOC, WI 53066-3497
(262) 269-5311
Mailing address
1291 ORCHARD CIR, OCONOMOWOC, WI 53066-3497
(262) 269-5311
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
375657
WI
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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