Individual
MIA D CROYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
21 S VINE ST, BELLEVILLE, WI 53508-9179
(608) 424-3384
Mailing address
8007 EXCELSIOR DR, MADISON, WI 53717-1903
(608) 829-5247
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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