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1679095814
MELISSA PTACEK
BROOKFIELD, WI
NPI
1679095814
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Former Name
MELISSA KELLY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: WI 6171-125)
Enumeration Date
2017-07-10
Last Update Date
2018-12-18
Business Address
MELISSA PTACEK LPC
15850 W BLUEMOUND RD STE 208
BROOKFIELD, WI 53005-6007
Phone number: 262-719-3824
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Mailing Address
MELISSA PTACEK LPC
15850 W BLUEMOUND RD
BROOKFIELD, WI 53005-6022
Phone number: 262-719-3824
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