MIKAYLA TIDEMANN

MILWAUKEE, WI
NPI1790441665
Former NameMIKAYLA JOST
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WI  10312-125)
Enumeration Date2021-11-15
Last Update Date2026-04-22
Business Address
MIKAYLA TIDEMANN LPC
620 S 76TH ST
MILWAUKEE, WI 53214-1599
Phone number: 414-292-4242
Mailing Address
MIKAYLA TIDEMANN LPC
620 S 76TH ST
MILWAUKEE, WI 53214-1599
Phone number: 414-292-4242
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