Individual
MELISSA MADRIAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
314 1ST ST, KEWASKUM, WI 53040-8930
(920) 960-5890
Mailing address
PO BOX 303, KEWASKUM, WI 53040-0303
(920) 960-5890
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
WI
Other
Enumeration date
12/03/2021
Last updated
12/03/2021
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