Individual
MARY DURAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10777 W BELOIT RD, GREENFIELD, WI 53228-1225
(414) 404-5090
Mailing address
4542 W MIDLAND DR, MILWAUKEE, WI 53219-4840
(262) 716-4869
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6137-125
WI
Other
Enumeration date
10/14/2016
Last updated
05/16/2020
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