Organization
INSIDE OUT COUNSELING AND DIAGNOSTIC CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEGGY A DENNISON PHD. (OWNER)
(920) 322-9100
Entity
Organization
Contact information
Practice address
104 S MAIN ST, SUITE 711, FOND DU LAC, WI 54935-4269
(920) 322-9100
(920) 322-9493
Mailing address
104 S MAIN ST, SUITE 711, FOND DU LAC, WI 54935-4269
(920) 322-9100
(920) 322-9493
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2394-057
WI
Other
Enumeration date
03/20/2007
Last updated
08/22/2020
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