Individual
ANN LOUISE ROQUET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1275 MCMAHON DR, SUN PRAIRIE, WI 53590-3811
(715) 579-5722
Mailing address
1275 MCMAHON DR, SUN PRAIRIE, WI 53590-3811
(715) 579-5722
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2675-123
WI
Other
Enumeration date
02/23/2018
Last updated
02/23/2018
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