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Individual
ANNA M WHEELOCK
Active
Individual
ANNA M WHEELOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CSAC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4375-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14380-132
LICENSE - CSAC
WI
01
—
4375-125
LICENSE - LPC
WI
Enumeration date
05/29/2012
Last updated
05/29/2012
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