Jeanine Lee Bannon

NPI #1417960220 in Shelbyville, Indiana

Provider Information

NPI Number
1417960220
Entity Type
Individual
Name
Jeanine Lee Bannon
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor
Enumeration Date
Aug 14, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
18 E MECHANIC ST
State
Indiana
ZIP Code
46176-1318
Phone
(317) 392-9421

Specialties & Taxonomy Codes

Specialty
Counselor

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