NPI 1295397560
Fallyn Duque, MSATR
Practice location
- Address
- W274 Hillendale Dr, Oconomowoc, WI 53066-5528
- Phone
- (262) 352-2913
Registered specialties (2)
Art Therapist
Primary
Mental Health Counselor
Registry record
- NPI
- 1295397560
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 8 Jul 2019
- Record last updated
- 30 Dec 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.