Individual
NANCY XIONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT, ATR-P
Contact information
Practice address
5235 N IRONWOOD RD, GLENDALE, WI 53217-4906
(414) 269-1886
Mailing address
5235 N IRONWOOD RD, GLENDALE, WI 53217-4906
(414) 269-1886
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4011-226
WI
Other
Enumeration date
02/13/2019
Last updated
02/20/2019
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