Individual
JOY MORTENSEN-WIEBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1126 S 70TH ST, MILWAUKEE, WI 53214-3151
(414) 475-2788
Mailing address
2108 63RD ST, KENOSHA, WI 53143-4454
(262) 652-2406
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/10/2017
Last updated
07/10/2017
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