Annette Pauline Latender CSAC

NPI 1487829883 - Counselor - 101YA0400X

NPI Details
NPI 1487829883
Gender Female
Enumeration Date 04/25/2008
Last Updated 04/25/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
N2150 KESAEHKAHTEK RD
GRESHAM WI, 54128-9602, US
Phone (715) 799-3835
Fax (715) 799-3836
Business Location
N2150 KESAEHKAHTEK RD
GRESHAM WI, 54128-9602, US
Phone (715) 799-3835
Fax (715) 799-3836
Toxanomy
Taxonomy Code 101YA0400X
License State Wisconsin
License Number 15188
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According to our database, Prof. Annette Pauline Latender CSAC NPI is 1487829883, taxonomy code is 101YA0400X and license number is 15188, license state is located at Wisconsin. Annette Pauline Latender CSAC physically located at N2150 Kesaehkahtek Rd, Gresham WI, 54128-9602. NPI Number Annette Pauline Latender CSAC has the Individual type.

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1487829883 NPI number is provided on an as is basis without warranty of any kind. 1487829883 is maintained by the National Plan & Provider Enumeration System. The contents of Annette Pauline Latender CSAC are for informational purposes only.