Provider Information for 1255656914
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ANNE MCLAREN LPC, CSAC
Sex: Female
NPI: 1255656914
Last Updated: 2010-04-06
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
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| NPI | 1255656914 | ||||||||||||
| Enumeration Date | 2010-04-06 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 4000 W SPENCER ST APPLETON, WI 54914-4015 United States Phone: 920-735-9010 | Fax:920-735-9050 | ||||||||||||
| Primary Practice Address | 4000 W SPENCER ST APPLETON, WI 54914-4015 United States Phone: 920-735-9010 | Fax:920-735-9050 | ||||||||||||
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