Individual
MS. MICHELLE ALTHEA DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
1407 SAINT ANDREW ST STE 100, LA CROSSE, WI 54603-2378
(608) 785-6266
Mailing address
202 W PARK ST, WESTBY, WI 54667-1026
(608) 632-4300
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
10879-120
WI
Other
Enumeration date
09/26/2013
Last updated
09/26/2013
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