| NPI | 1588339949 |
|---|---|
| Doing Business As | PRIDE COUNSELING SERVICES OF WISCONSIN |
| Entity Type | Organization |
| Authorized Contact | LEORA MIRKIN Owner/Operator And Therapist 608-406-3860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2021-08-09 |