Individual
MICHELLE MONROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 KOHLER DR, WEST BEND, WI 53090-9036
(920) 645-4679
Mailing address
601 KOHLER DR, WEST BEND, WI 53090-9036
(920) 645-4679
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18452
WI
Other
Enumeration date
03/13/2020
Last updated
03/13/2020
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