Leilani R Heraly
NPI #1841436805 in Fond Du Lac, Wisconsin
Provider Information
- NPI Number
- 1841436805
- Entity Type
- Individual
- Name
- Leilani R Heraly
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor
- Enumeration Date
- Dec 22, 2008
- Last Updated
- Dec 22, 2008
Practice Location
- Address
- 459 E 1ST ST
- City
- Fond Du Lac
- State
- Wisconsin
- ZIP Code
- 54935-4505
- Phone
- (920) 929-3569
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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