Individual
MICHAEL VIENNEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
100 BUSINESS PARK CIR STE 201, STOUGHTON, WI 53589-5501
(608) 445-0673
Mailing address
148 FORTON ST, STOUGHTON, WI 53589-1604
(608) 445-0673
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8409-123
WI
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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