Most Relevant Information
Provider Data
| NPI Number: | 1003279753 |
| Provider Name: | MARIA GLORIA VERCIMAK LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 5997-125 |
Most Important Dates
| Enumeration Date: | 03/31/2016 |
| Last Updated: | 09/18/2018 |
Provider Practice Location
444 N WESTHILL BLVD
APPLETON
WI
549145715
Practice Location Phone/Fax
| Phone: | 9207507000 |
| Fax: | 9203642451 |
Provider Mailing Location
444 N WESTHILL BLVD
APPLETON
WI
549145715
Provider Mailing Phone/Fax
| Phone: | 9207357480 |
| Fax: | 9203642415 |