Individual
MELISSA BENDEVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 SOUTH 6TH STREET, MILWAUKEE, WI 53204
(414) 643-8530
(414) 647-8602
Mailing address
1111 S 6TH ST, MILWAUKEE, WI 53204-2301
(414) 643-8530
(414) 647-8602
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17044-130
WI
Other
Enumeration date
06/13/2014
Last updated
06/13/2014
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