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Miranda Marie Fassbender
Professional Counselor in Amery, Wisconsin
NPI 1356681308

Miranda Marie Fassbender is a Professional Counselor based in Saint Paul, WI and is specialized in Professional. Miranda Marie Fassbender practices in Amery, WI. The NPI Number for Miranda Marie Fassbender is 1356681308 and holds a License No. 1887 (Wisconsin).

The current practice location address for Miranda Marie Fassbender is 230 Deronda St, Amery, WI and can be reached out via phone at 715-268-8000.

Location: 230 Deronda St, Amery, WI, 55108-1737
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356681308
Provider Name
Miranda Marie Fassbender
Credential
Provider Entity Type
Individual
Gender
Female
Address
230 Deronda St, Amery, WI, 55108-1737
Phone Number
715-268-8000
Fax Number
Provider Enumeration Date
02/27/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
230 Deronda St
City
Amery
State
Wisconsin
Zip
54001-1412
Phone Number
715-268-8000
Fax Number
person
Provider Business Mailing Address Details
Address
230 Deronda St
City
Amery
State
Wisconsin
Zip
54001-1412
Phone Number
715-268-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
1887 (Minnesota)
Definition
Definition to come...
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