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Individual

MRS. AIMEE MARIE MEYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
196 3RD ST, FOND DU LAC, WI 54935-4418
(920) 921-3343
Mailing address
401 N MILITARY RD, FOND DU LAC, WI 54935-2267
(920) 924-8028

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3694-125
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3694-125
STATE LICENSE NUMBER
WI
Enumeration date
05/16/2007
Last updated
07/08/2007
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