Individual
MICHELLE KAY ROOT-MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
846 METALOON TRAIL, EAGLE RIVER, WI 54521
(832) 439-4097
Mailing address
846 METALOON TRAIL, EAGLE RIVER, WI 54521
(832) 439-4097
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
835100
WI
Other
Enumeration date
10/09/2020
Last updated
10/09/2020
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