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Organization

PRISM HEALTH AND WELLNESS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KA VANG LEE (OWNER)
(920) 287-5946
Entity
Organization

Contact information

Practice address
933 ERIE AVE STE 2, SHEBOYGAN, WI 53081-3300
(920) 254-1684
Mailing address
2401 N 26TH ST, SHEBOYGAN, WI 53083-4479
(920) 287-5946

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
10/04/2022
Last updated
10/11/2022
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