Lucia Marie Micheli MSW CADC III

NPI 1770633752 - Counselor - 101YA0400X

NPI Details
NPI 1770633752
Gender Female
Enumeration Date 01/11/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
500 ELM GROVE RD
SUITE 100 TRILLIUM CARE GROUP
ELM GROVE WI, 53122, US
Phone (262) 782-2090
Fax (262) 782-2092
Business Location
500 ELM GROVE RD
SUITE 100 TRILLIUM CARE GROUP
ELM GROVE WI, 53122, US
Phone (262) 782-2090
Fax (262) 782-2092
Toxanomy
Taxonomy Code 101YA0400X
License State Wisconsin
License Number 11091
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According to our database, Ms. Lucia Marie Micheli MSW CADC III NPI is 1770633752, taxonomy code is 101YA0400X and license number is 11091, license state is located at Wisconsin. Lucia Marie Micheli MSW CADC III physically located at 500 Elm Grove Rd, Elm Grove WI, 53122. NPI Number Lucia Marie Micheli MSW CADC III has the Individual type.

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1770633752 NPI number is provided on an as is basis without warranty of any kind. 1770633752 is maintained by the National Plan & Provider Enumeration System. The contents of Lucia Marie Micheli MSW CADC III are for informational purposes only.