Individual
MADELINE SHAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
629 RIVER ST STE C, BELLEVILLE, WI 53508-9189
(608) 669-4255
Mailing address
9615 HARVEST MOON LN, VERONA, WI 53593-9596
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
WI
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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