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Individual

BROOKE D ZANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
571 COUNTY ROAD A, GREEN LAKE, WI 54941-8630
(920) 294-4070
(920) 294-4139
Mailing address
571 COUNTY ROAD A, GREEN LAKE, WI 54941-8630
(920) 294-4070
(920) 294-4139

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7875-125
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100075601
WI
Enumeration date
03/06/2018
Last updated
03/17/2021
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