Individual
VALERIE MIRANDA CARRIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAC-IT
Contact information
Practice address
N6520 LUMBERJACK GUY RD, BLACK RIVER FALLS, WI 54615-5405
(715) 284-9851
(715) 284-3434
Mailing address
S237 PINE AVE, ONTARIO, WI 54651-7619
(608) 799-4797
(715) 284-3434
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18155
WI
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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