Individual
ELLEN C NEEDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
103 W COLLEGE AVE, #815, APPLETON, WI 54911
(920) 733-1992
(920) 733-1866
Mailing address
103 W COLLEGE AVE, #815, APPLETON, WI 54911
(920) 733-1992
(920) 733-1866
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2113-123
WI
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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