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Individual

VANESSA VAN LANEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
X

Contact information

Practice address
1499 6TH ST, GREEN BAY, WI 54304-2252
(920) 498-0117
(888) 493-0447
Mailing address
1499 6TH ST, GREEN BAY, WI 54304-2252
(920) 498-0117
(888) 493-0447

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
03/31/2025
Last updated
03/31/2025
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