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Michelle Nicole King

Marriage & Family Therapist in Hudson, WI. Individual provider (NPI-1).

NPI number1194355230
StatusActive
Last updated in NPPESJan 16, 2020

Details

NPI
1194355230
Entity type
Individual (NPI-1)
Name
Michelle Nicole King
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 16, 2020
Certification date
Jan 16, 2020
Last updated
Jan 16, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family Therapist53783CAYes

Practice location

757 Martin Ave
Hudson, WI 54016-7762

Phone 612-599-5331

Mailing address

757 Martin Ave
Hudson, WI 54016-7762

Phone 612-599-5331

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