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1053446880
CONNIE WORDELL
MILWAUKEE, WI
NPI
1053446880
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 14458)
Enumeration Date
2007-02-22
Last Update Date
2007-07-09
Business Address
-- CONNIE WORDELL
4383 N 27TH ST
MILWAUKEE, WI 53216-1809
Phone number: 414-871-8883
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Mailing Address
-- CONNIE WORDELL
N2817 STATE ROAD 57
NEW HOLSTEIN, WI 53061-9528
Phone number:
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