MAKENA LIZABETH DETLOR

WISCONSIN RAPIDS, WI
NPI1336845817
Former NameMAKENA LIZABETH GUSE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WI  7240-226)
Enumeration Date2023-02-06
Last Update Date2023-02-06
Business Address
MAKENA LIZABETH DETLOR LPC-IT
320 W GRAND AVE STE 304A
WISCONSIN RAPIDS, WI 54495-2781
Phone number: 715-424-6960
Mailing Address
MAKENA LIZABETH DETLOR LPC-IT
443 STRODMAN AVE
WISCONSIN RAPIDS, WI 54494-5934
Phone number: 608-338-3335
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