Individual
MRS. DENISE STAR PANNEBAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
3003 N RICHMOND ST, APPLETON, WI 54911-1148
(920) 730-1324
(920) 734-2824
Mailing address
3003 N RICHMOND ST, APPLETON, WI 54911-1148
(920) 730-1324
(920) 734-2824
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1526-226
WI
Other
Enumeration date
12/07/2012
Last updated
12/07/2012
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