Individual
DR. IRENE WANCHING LIEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3535 30TH AVE STE 203, KENOSHA, WI 53144-1632
(847) 420-8825
Mailing address
111 BARCLAY BLVD STE 368, LINCOLNSHIRE, IL 60069-3673
(847) 420-8825
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5187-57
WI
Other
Enumeration date
10/05/2021
Last updated
09/29/2024
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