Most Relevant Information
Provider Data
| NPI Number: | 1003221821 |
| Provider Name: | ALICIA S SKILES QTT |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 2187-226 |
Most Important Dates
| Enumeration Date: | 07/01/2014 |
| Last Updated: | 07/01/2014 |
Provider Practice Location
1707 MAIN ST
LA CROSSE
WI
546014200
Practice Location Phone/Fax
| Phone: | 6087850001 |
| Fax: | 6087850002 |
Provider Mailing Location
1707 MAIN ST
LA CROSSE
WI
546014200
Provider Mailing Phone/Fax
| Phone: | 6087850001 |
| Fax: | 6087850002 |