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1033764469
MICHELLE J DAMM
OCONOMOWOC, WI
NPI
1033764469
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Former Name
MICHELLE J ROTH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: WI 4423-226)
Enumeration Date
2019-08-02
Last Update Date
2019-08-02
Business Address
MICHELLE J DAMM LPC-IT
418 E WISCONSIN AVE
OCONOMOWOC, WI 53066-3040
Phone number: 414-429-6403
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Mailing Address
MICHELLE J DAMM LPC-IT
667 E LAKE ST
LAKE MILLS, WI 53551-1738
Phone number: 920-366-2597
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