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1124140108
LAURA L KELLOGG
MENASHA, WI
NPI
1124140108
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: WI 3549)
Enumeration Date
2007-04-03
Last Update Date
2007-07-08
Business Address
-- LAURA L KELLOGG LPC
1095 MIDWAY RD
MENASHA, WI 54952-1115
Phone number: 920-996-3298
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Mailing Address
-- LAURA L KELLOGG LPC
PO BOX 8003
APPLETON, WI 54912-8003
Phone number: 920-996-3298
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