LAVONNE LEE LOS

KENOSHA, WI
NPI1437206810
Former NameLAVONNE LEE JANCHAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: WI  3822-125)
Enumeration Date2007-01-05
Last Update Date2007-07-08
Business Address
Mrs. LAVONNE LEE LOS LPC
5407 8TH AVE
KENOSHA, WI 53140-3715
Phone number: 262-564-0067
Mailing Address
Mrs. LAVONNE LEE LOS LPC
W155S7648 RAIN TREE CT
MUSKEGO, WI 53150-7762
Phone number: 262-678-0487