Individual
LORRIE ANN OLIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAC
Contact information
Practice address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-4200
Mailing address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-4200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15443-131
WI
Other
Enumeration date
06/11/2009
Last updated
06/11/2009
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