Individual
MARISOL MCELROY LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
541 W MAIN ST, EVANSVILLE, WI 53536-1094
(608) 512-2366
Mailing address
541 W MAIN ST, EVANSVILLE, WI 53536-1094
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1432-124
WI
Other
Enumeration date
06/11/2018
Last updated
05/17/2023
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