MRS. Michelle K Rusboldt, LCSW

NPI #1366817165 in Two Rivers, Wisconsin

Provider Information

NPI Number: 1366817165
Entity Type: Individual
Name: MRS. Michelle K Rusboldt, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Dec 4, 2015
Last Updated: Dec 8, 2021

Practice Location

Address: 5300 MEMORIAL DR
City: Two Rivers
State: Wisconsin
ZIP Code: 54241-3923
Phone: (920) 793-7420

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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