Lynne Bannon, BA

NPI #1265731715 in Mequon, Wisconsin

Provider Information

NPI Number: 1265731715
Entity Type: Individual
Name: Lynne Bannon, BA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: BA
Enumeration Date: Mar 23, 2011
Last Updated: Mar 23, 2011

Practice Location

Address: 10532 N PORT WASHINGTON RD
City: Mequon
State: Wisconsin
ZIP Code: 53092-5563
Phone: (262) 242-3810

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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