Individual
MS. LYNN LOUISE CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MDIV, LMFT
Contact information
Practice address
3200 W HIGHLAND BLVD, MILWAUKEE, WI 53208-3252
(414) 345-4900
Mailing address
16545 W WOODVIEW DR, BROOKFIELD, WI 53005-2121
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
809-124
WI
Other
Enumeration date
02/18/2010
Last updated
02/18/2010
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