| NPI | 1801939913 |
|---|---|
| Doing Business As | MEQUON CLINICAL ASSOCIATES, LLC |
| Entity Type | Organization |
| Authorized Contact | JEANNINE M. JESKE Office Manager 262-241-7778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 1607) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2008-04-20 |