Individual
MELISSA LUNDGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3235 LAKEVIEW DR, SUAMICO, WI 54173-8144
(920) 217-5531
Mailing address
3235 LAKEVIEW DR, SUAMICO, WI 54173-8144
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12384-123
WI
Other
Enumeration date
08/23/2023
Last updated
06/05/2025
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