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1033697800
SAMANTHA ROSE KOEHN
GREEN BAY, WI
NPI
1033697800
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI 18608-130)
Enumeration Date
2018-08-02
Last Update Date
2018-08-02
Business Address
MS. SAMANTHA ROSE KOEHN SAC-IT
1701 DOUSMAN ST
GREEN BAY, WI 54303-3211
Phone number: 920-498-8600
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Mailing Address
MS. SAMANTHA ROSE KOEHN SAC-IT
1701 DOUSMAN ST
GREEN BAY, WI 54303-3211
Phone number: 920-498-8600
Copy
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