LISA DEDRICK
Counselor - Professional
Active
Individual
NPI: 1417317751
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Professional | 101YP2500X | Yes | 2416-226 (WI) |
Frequently Asked Questions
NPI 1417317751 is the National Provider Identifier for LISA DEDRICK, a Counselor - Professional provider located in Montello, WI. This NPI was enumerated on February 29, 2016.
LISA DEDRICK practices at 480 UNDERWOOD AVE, Montello, WI 53949.
Quick Facts
- NPI
- 1417317751
- Type
- Individual
- Enumerated
- Feb 29, 2016
- Last Updated
- May 9, 2016
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