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Individual

MS. CECILIA VALLEJO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LMFT

Contact information

Practice address
1032 S 16TH ST, SUITE 219, MILWAUKEE, WI 53204-2203
(414) 672-3145
(414) 383-5597
Mailing address
1032 S 16TH ST, SUITE 219, MILWAUKEE, WI 53204-2203
(414) 672-3145
(414) 383-5597

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
75
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39182000
WI
Enumeration date
09/06/2007
Last updated
09/06/2007
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