Individual
MRS. CARLA DOREEN PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
6121 GREEN BAY RD STE 220, KENOSHA, WI 53142-2983
(262) 652-7222
(262) 652-1734
Mailing address
6121 GREEN BAY RD STE 220, KENOSHA, WI 53142-2983
(262) 652-7222
(262) 652-1734
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1760-226
WI
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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