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NPI 1366577488

NPI 1366577488 : VALERIE A ZELLMER MS, MFT, LMFT : ST. CROIX FALLS, WI

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General NPI Number Information
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    NPI Number           |    1366577488
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    Entity Type          |    Individual 
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    Provider Name        |    VALERIE A ZELLMER MS, MFT, LMFT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/22/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    809 US HWY 8 
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    City                 |    ST. CROIX FALLS
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    State                |    WI
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    Zip                  |    54024
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    Country              |    US
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    Telephone            |    715-483-3544
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    Fax                  |    715-483-3741
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Provider Business Mailing Address
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    Address Line         |    872 250TH ST 
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    City                 |    OSCEOLA
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    State                |    WI
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    Zip                  |    54020-4320
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    Country              |    US
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    Telephone            |    715-294-1841
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    686-124
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    License Number State |    WI
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