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1538509690
MICHELLE LOUISE LEVERENCE
OCONOMOWOC, WI
NPI
1538509690
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Former Name
MICHELLE LOUISE FREDRICK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: WI 4864-125)
Enumeration Date
2013-07-03
Last Update Date
2024-01-17
Business Address
MICHELLE LOUISE LEVERENCE LPC
712 SUMMIT AVE STE 714
OCONOMOWOC, WI 53066-3827
Phone number: 262-226-2006
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Mailing Address
MICHELLE LOUISE LEVERENCE LPC
7310 E RYAN RD
MILTON, WI 53563-9358
Phone number: 608-868-6885
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