Individual
MADELYN MIKSHOWSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
3936 CIRCLE DR, HOLMEN, WI 54636-9187
(608) 413-4825
Mailing address
3936 CIRCLE DR, HOLMEN, WI 54636-9187
(608) 413-4825
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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