Individual
MARILYN R DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
C3800 HEARTLAND HILLS RD, STRATFORD, WI 54484-9488
(715) 223-7282
Mailing address
C3800 HEARTLAND HILLS RD, STRATFORD, WI 54484-9488
(715) 223-7282
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1161
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39696100
—
WI
Enumeration date
08/24/2006
Last updated
02/15/2012
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