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1811667603
JASON ALEXANDER LANNOCH
MIDDLETON, WI
NPI
1811667603
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-09-14
Last Update Date
2021-09-14
Business Address
JASON ALEXANDER LANNOCH MA
8530 GREENWAY BLVD UNIT 204
MIDDLETON, WI 53562-4604
Phone number: 410-402-0562
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Mailing Address
JASON ALEXANDER LANNOCH MA
8530 GREENWAY BLVD UNIT 204
MIDDLETON, WI 53562-4604
Phone number:
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