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1740603257
LARISSA MILICEVIC
KENOSHA, WI
NPI
1740603257
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: WI 5251-125)
Enumeration Date
2014-02-04
Last Update Date
2014-02-04
Business Address
-- LARISSA MILICEVIC LPC
2108 63RD ST
KENOSHA, WI 53143-4454
Phone number: 262-652-2406
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Mailing Address
-- LARISSA MILICEVIC LPC
2108 63RD ST
KENOSHA, WI 53143-4454
Phone number: 262-652-2406
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