Individual
MELISSA LYNETTE WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAC-IT
Contact information
Practice address
3301 N BALLARD RD, APPLETON, WI 54911-8928
(920) 733-4443
Mailing address
N4650 LAIRD RD, SHIOCTON, WI 54170-8939
(920) 707-0304
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
18650-130
WI
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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