Mary Lou Mumford
NPI #1528835733 in Twin Lakes, Wisconsin
Provider Information
- NPI Number
- 1528835733
- Entity Type
- Individual
- Name
- Mary Lou Mumford
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Adult Companion
- Enumeration Date
- Dec 7, 2023
- Last Updated
- Dec 7, 2023
Practice Location
- Address
- 125 OAK LN
- City
- Twin Lakes
- State
- Wisconsin
- ZIP Code
- 53181-9515
- Phone
- (262) 877-9132
Specialties & Taxonomy Codes
| Specialty |
|---|
| Adult Companion |
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