Individual
MS. RAQUEL O MEDRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
503 WISCONSIN AVE STE 2, SHEBOYGAN, WI 53081-4147
(920) 458-5726
(920) 458-5826
Mailing address
800 WISCONSIN AVE, RACINE, WI 53403-1526
(262) 637-8888
(262) 637-0695
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4465-226
WI
Other
Enumeration date
10/29/2019
Last updated
05/10/2021
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