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1437206810
LAVONNE LEE LOS
KENOSHA, WI
NPI
1437206810
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Former Name
LAVONNE LEE JANCHAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: WI 3822-125)
Enumeration Date
2007-01-05
Last Update Date
2007-07-08
Business Address
Mrs. LAVONNE LEE LOS LPC
5407 8TH AVE
KENOSHA, WI 53140-3715
Phone number: 262-564-0067
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Mailing Address
Mrs. LAVONNE LEE LOS LPC
W155S7648 RAIN TREE CT
MUSKEGO, WI 53150-7762
Phone number: 262-678-0487
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