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1043496672
LOUANNE PUFALL
WISCONSIN RAPIDS, WI
NPI
1043496672
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 13773-132)
Enumeration Date
2008-01-14
Last Update Date
2008-01-14
Business Address
-- LOUANNE PUFALL CSAC
2611 12TH ST S
WISCONSIN RAPIDS, WI 54494-6445
Phone number: 715-421-8844
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Mailing Address
-- LOUANNE PUFALL CSAC
2611 12TH ST S
WISCONSIN RAPIDS, WI 54494-6445
Phone number: 715-421-8844
Copy
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