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1922002914
MARLENE A BANNEN
LA CROSSE, WI
NPI
1922002914
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TB0200X Psychologist, Cognitive & Behavioral
(Licence: WI 2317)
Enumeration Date
2005-06-08
Last Update Date
2010-07-06
Business Address
-- MARLENE A BANNEN PHD
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300
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Mailing Address
-- MARLENE A BANNEN PHD
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300
Copy
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