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Individual

KORAH LEE PETRASKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
711 N LYNNDALE DR STE 1A, APPLETON, WI 54914-3078
(920) 560-4525
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 720-2300
(920) 720-3719

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
3831-226
WI
101YP2500X
Professional Counselor
Primary
8166
WI

Other

Enumeration date
02/24/2018
Last updated
01/07/2025
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