MACKENZIE ANN DEFFENBAUGH

MENOMONIE, WI
NPI1871013458
Former NameMACKENZIE ANN PICHLER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WI  5094-125)
Enumeration Date2017-06-23
Last Update Date2017-06-23
Business Address
MACKENZIE ANN DEFFENBAUGH
4076 KOTHLOW AVE
MENOMONIE, WI 54751-3090
Phone number: 715-235-4537
Mailing Address
MACKENZIE ANN DEFFENBAUGH
4076 KOTHLOW AVE
MENOMONIE, WI 54751-3090
Phone number: