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Individual

LYNDA RICHTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2640 MILTON AVE, JANESVILLE, WI 53545-0231
(608) 755-1475
(608) 755-1733
Mailing address
2640 MILTON AVE, JANESVILLE, WI 53545-0231
(608) 755-1475
(608) 755-1733

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13769-131
WI
101YM0800X
Mental Health Counselor
Primary
3086-125
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40908700
WI
Enumeration date
12/13/2006
Last updated
08/31/2007
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