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1376301382
LUMOS
FOND DU LAC, WI
NPI
1376301382
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Entity Type
Organization
Authorized Contact
KAITLYN KENEALY
Owner
612-790-6230
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-03-13
Last Update Date
2024-03-13
Business Address
LUMOS
131 S MAIN ST STE M05
FOND DU LAC, WI 54935-4386
Phone number: 920-659-5414
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Mailing Address
LUMOS
131 S MAIN ST STE M05
FOND DU LAC, WI 54935-4386
Phone number:
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