Individual
PANOU LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
620 W BROWN ST, WAUPUN, WI 53963-1702
(920) 324-7600
Mailing address
620 W BROWN ST, WAUPUN, WI 53963-1702
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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