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1699915140
JEAN M LENNON
WAUKESHA, WI
NPI
1699915140
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 15090-130)
Enumeration Date
2009-02-24
Last Update Date
2010-01-26
Business Address
Mrs. JEAN M LENNON CSAC
2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188-6105
Phone number: 262-549-6600
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Mailing Address
Mrs. JEAN M LENNON CSAC
2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188-6105
Phone number: 262-549-6600
Copy
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