Individual
LEA SALOME DENNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
8626B W GREENFIELD AVE, SUITE B300, WEST ALLIS, WI 53214
(414) 315-7271
Mailing address
PO BOX 70662, MILWAUKEE, WI 53207-0662
(414) 315-7271
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3414 - 226
WI
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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