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Organization

GJB HEALTH SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GLORIA JEAN BANNASCH LPC (OWNER ACCESS MANAGER)
(920) 217-7861
Entity
Organization

Contact information

Practice address
2323 W EVERETT ST, APPLETON, WI 54914-4749
(920) 560-4585
(920) 560-6618
Mailing address
2323 W EVERETT ST, APPLETON, WI 54914-4749
(920) 560-4525
(920) 560-6618

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100077381
WI
Enumeration date
07/05/2013
Last updated
01/07/2025
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