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Individual

MARY HELEN LILLICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
101 FALLS RD, SUITE 404, GRAFTON, WI 53024-2612
(262) 375-8441
(262) 546-0005
Mailing address
101 FALLS RD, SUITE 404, GRAFTON, WI 53024-2612
(262) 375-8441
(262) 546-0005

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1665057
WI

Other

Enumeration date
11/13/2006
Last updated
01/30/2008
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