Individual
MADELINE SJODIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 56TH ST, KENOSHA, WI 53140-3737
(262) 237-1186
Mailing address
1025 56TH ST, KENOSHA, WI 53140-3737
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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