MARYBETH BANACH

HARTLAND, WI
NPI1760861413
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: WI  5687-125)
Enumeration Date2015-05-28
Last Update Date2015-05-28
Business Address
-- MARYBETH BANACH MS, LPC
510 HARTBROOK DR STE 201
HARTLAND, WI 53029-1444
Phone number: 262-853-9084
Mailing Address
-- MARYBETH BANACH MS, LPC
510 HARTBROOK DRIVE, SUITE 201
HARTLAND, WI 53029
Phone number: 262-853-9084
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