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1023179611
JACQUELINE GRISELLE LINDO
WAUWATOSA, WI
NPI
1023179611
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: WI 611-226)
Additional Taxonomies
221700000X Art Therapist
Enumeration Date
2006-12-13
Last Update Date
2012-03-28
Business Address
-- JACQUELINE GRISELLE LINDO M.S.
10045 W LISBON AVE STE 221
WAUWATOSA, WI 53222-2446
Phone number: 414-358-7144
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Mailing Address
-- JACQUELINE GRISELLE LINDO M.S.
10045 W LISBON AVE STE 221
WAUWATOSA, WI 53222-2446
Phone number: 414-358-7144
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