Individual
CARRISSA PANNUZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1476 KENWOOD CTR, MENASHA, WI 54952-1134
(920) 720-8872
(920) 720-8873
Mailing address
1476 KENWOOD CTR, MENASHA, WI 54952-1134
(920) 720-8872
(920) 720-8873
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1280-226
WI
Other
Enumeration date
06/09/2014
Last updated
06/09/2014
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