Individual
MARISA BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2727 N GRANDVIEW BLVD STE 205, WAUKESHA, WI 53188-1671
(262) 547-5567
Mailing address
514 RIVERVIEW AVE, WAUKESHA, WI 53188-3631
(262) 970-6639
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/16/2020
Last updated
01/21/2024
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