CARLY WALLNER

PORT WASHINGTON, WI
NPI1801525795
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WI  8355-125)
Additional Taxonomies101YP2500X Counselor, Professional
(Licence: WI  8355-125)
Enumeration Date2022-06-07
Last Update Date2024-07-10
Business Address
CARLY WALLNER
121 W MAIN ST
PORT WASHINGTON, WI 53074-1813
Phone number: 262-238-8130
Mailing Address
CARLY WALLNER
121 W MAIN ST
PORT WASHINGTON, WI 53074-1813
Phone number: