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Suzanne Marie Pennington
Professional Counselor in Antigo, Wisconsin
NPI 1225108384

Suzanne Marie Pennington is a Professional Counselor based in Wausau, WI and is specialized in Professional. Suzanne Marie Pennington practices in Antigo, WI. The NPI Number for Suzanne Marie Pennington is 1225108384 and holds a License No. 847-125 (Wisconsin).

The current practice location address for Suzanne Marie Pennington is 1225 Langlade Rd, Antigo, WI and can be reached out via phone at 715-627-6694.

Location: 1225 Langlade Rd, Antigo, WI, 54403-6785
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225108384
Provider Name
Suzanne Marie Pennington
Credential
Provider Entity Type
Individual
Gender
Female
Address
1225 Langlade Rd, Antigo, WI, 54403-6785
Phone Number
715-627-6694
Fax Number
Provider Enumeration Date
11/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39636200 05 WI
institution
Provider Business Practice Location Address Details
Address
1225 Langlade Rd
City
Antigo
State
Wisconsin
Zip
54409-2762
Phone Number
715-627-6694
Fax Number
person
Provider Business Mailing Address Details
Address
1225 Langlade Rd
City
Antigo
State
Wisconsin
Zip
54409-2762
Phone Number
715-627-6694
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
847-125 (Wisconsin)
Definition
Definition to come...
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