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1477876308
GLORIA JEAN BANNASCH
APPLETON, WI
NPI
1477876308
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Former Name
GLORIA JEAN BANNASCH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: WI 4281-125)
Enumeration Date
2010-03-06
Last Update Date
2021-12-29
Business Address
MRS. GLORIA JEAN BANNASCH LPC
711 N LYNNDALE DR STE 1A
APPLETON, WI 54914-3078
Phone number: 920-217-7861
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Mailing Address
MRS. GLORIA JEAN BANNASCH LPC
711 N LYNNDALE DR STE 1A
APPLETON, WI 54914-3078
Phone number: 920-217-7861
Copy
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