Individual
MIKAYLA NOEL SHIPLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2802 COHO ST STE 203, MADISON, WI 53713-4521
(608) 291-7033
Mailing address
1773 N ASTOR ST, MILWAUKEE, WI 53202-1544
(262) 622-2528
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
WI
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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