LESLIE K GANNON

WHITEFISH BAY, WI
NPI1316295272
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: WI  7490-123)
Enumeration Date2012-08-27
Last Update Date2012-08-27
Business Address
LESLIE K GANNON
5573 N DIVERSEY BLVD
WHITEFISH BAY, WI 53217-5202
Phone number: 414-526-7622
Mailing Address
LESLIE K GANNON
5573 N DIVERSEY BLVD
WHITEFISH BAY, WI 53217-5202
Phone number: 414-526-7622
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