Individual
MICHELLE L THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT-TL
Contact information
Practice address
414 S EAST AVE, VIROQUA, WI 54665-2006
(608) 638-3332
Mailing address
414 S EAST AVE, VIROQUA, WI 54665-2006
(608) 638-3332
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
212-228
WI
Other
Enumeration date
11/05/2021
Last updated
11/05/2021
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