Individual
SUSAN ANNE GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
439 S MAIN ST, FOND DU LAC, WI 54935-4951
(920) 251-7005
Mailing address
W4460 MARY HILL PARK DR, FOND DU LAC, WI 54937-9313
(920) 929-0184
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3883-125
WI
Other
Enumeration date
04/12/2013
Last updated
04/12/2013
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