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1700811015
MARY LYNNE MACK
WAUKESHA, WI
NPI
1700811015
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: WI 2598-057)
Enumeration Date
2006-07-12
Last Update Date
2019-11-15
Business Address
MARY LYNNE MACK PHD
20700 WATERTOWN RD STE 240
WAUKESHA, WI 53186-1800
Phone number: 262-391-2551
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Mailing Address
MARY LYNNE MACK PHD
N19W26738 MILKWEED LN UNIT A
PEWAUKEE, WI 53072-5657
Phone number: 262-391-2551
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