SearchWisconsin101YP2500X

Julie Prudom, LPC

NPI 1639643802 · on the registry since 2019 · sole proprietor

Practice

Address
524 W Wayfarer Ct
Appleton, WI 54913
Phone
(920) 851-4041

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-01-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin