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1043463938
SHAUNA S VANDEN HOOGEN
MENASHA, WI
NPI
1043463938
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 15563)
Enumeration Date
2008-10-23
Last Update Date
2010-04-19
Business Address
-- SHAUNA S VANDEN HOOGEN SAC
1095 MIDWAY RD
MENASHA, WI 54952-1115
Phone number: 920-720-3700
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Mailing Address
-- SHAUNA S VANDEN HOOGEN SAC
1095 MIDWAY RD
MENASHA, WI 54952-1115
Phone number: 920-720-3700
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