Individual
LILLY ANN KLINGSPORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11431 N PORT WASHINGTON RD, MEQUON, WI 53092-3462
(262) 518-0094
Mailing address
2505 N PROSPECT AVE APT 1, MILWAUKEE, WI 53211-4127
(414) 702-3890
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8202226
WI
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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