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1043510084
JACOB P SPANGENBERG
GREEN BAY, WI
NPI
1043510084
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 15832-132)
Enumeration Date
2010-10-25
Last Update Date
2014-12-02
Business Address
Mr. JACOB P SPANGENBERG CSAC
2979 ALLIED ST UNIT C
GREEN BAY, WI 54304-5567
Phone number: 920-337-6740
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Mailing Address
Mr. JACOB P SPANGENBERG CSAC
2979 ALLIED ST UNIT C
GREEN BAY, WI 54304-5567
Phone number: 920-337-6740
Copy
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