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1306591052
MODERN THRIVE COUNSELING LLC
SUN PRAIRIE, WI
NPI
1306591052
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Entity Type
Organization
Authorized Contact
AMY JULIA RIEDEL
Lpc
608-318-3194
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-02-21
Last Update Date
2022-02-21
Business Address
MODERN THRIVE COUNSELING LLC
242 E MAIN ST
SUN PRAIRIE, WI 53590-2279
Phone number: 608-318-3194
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Mailing Address
MODERN THRIVE COUNSELING LLC
3016 MIDNIGHT SUN DR
SUN PRAIRIE, WI 53590-8814
Phone number:
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