Heraly, Leilani R

Heraly, Leilani R is an sole proprietor health care provider with primary practice located at 459 E 1St St , Fond Du Lac WI 54935-4505. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Heraly, Leilani R can be contacted via phone (920) 929-3569.

Contact Information

Primary practice address
459 E 1St St Fond Du Lac WI 54935-4505
Phone: (920) 929-3569
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 15263-132 Wisconsin

Profile Details

NPI number 1841436805
LBN Legal business name Heraly, Leilani R
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 22nd, 2008
Last updated Dec 22nd, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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