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Organization
PERFORMANCE ENHANCEMENT
Active
Organization
PERFORMANCE ENHANCEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI PETERNEL (BUSINESS ADMINISTRATOR)
(414) 858-1014
Entity
Organization
Contact information
Practice address
10500 W LOOMIS RD STE 150, FRANKLIN, WI 53132-8676
(414) 858-1014
(414) 858-1017
Mailing address
10500 WEST LOOMIS RD, SUITE 150, FRANKLIN, WI 53132
(414) 858-1014
(414) 858-1017
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3972-125
WI
Other
Enumeration date
12/23/2008
Last updated
12/23/2008
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