Individual
BRONAGH EVELYN KIPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
901 CALEDONIA ST, LA CROSSE, WI 54603-2616
(608) 785-4100
Mailing address
901 CALEDONIA ST, LA CROSSE, WI 54603-2616
(608) 785-4100
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/16/2018
Last updated
05/29/2025
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