Individual
PRAIRIE CONLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2822 RIDLEY RD, HARTLAND, WI 53029-8835
(913) 375-4934
Mailing address
2822 RIDLEY RD, HARTLAND, WI 53029-8835
(913) 375-4934
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6369
OK
101YP2500X
Professional Counselor
Primary
A12370
NC
101YP2500X
Professional Counselor
LPCC.0014978
CO
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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