MICHELLE COLLETTE MIRASOLA

LA CROSSE, WI
NPI1467010892
Former NameMICHELLE COLLETTE DES JARINDS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence:   4769)
Enumeration Date2019-05-31
Last Update Date2019-05-31
Business Address
MICHELLE COLLETTE MIRASOLA SLP
724 DENTON ST
LA CROSSE, WI 54601-5447
Phone number: 920-419-5317
Mailing Address
MICHELLE COLLETTE MIRASOLA SLP
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300