MARA LISA PROFT

GREENVILLE, WI
NPI1144474248
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WI  736-125)
Enumeration Date2008-11-17
Last Update Date2008-11-17
Business Address
Ms. MARA LISA PROFT M.S., L.P.C.
W6905 PARKVIEW DR STE A
GREENVILLE, WI 54942-9099
Phone number: 920-540-7214
Mailing Address
Ms. MARA LISA PROFT M.S., L.P.C.
N1366 WOODLAND DR
GREENVILLE, WI 54942-8035
Phone number: 920-540-7214
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