Individual
ISABELLE WANGERIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
129 KENOSHA ST, WALWORTH, WI 53184
(262) 607-2770
Mailing address
105 E GREEN ST, WATERTOWN, WI 53098-2821
(920) 248-3596
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7462-226
WI
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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