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1053475343
JUDY A HANNAFORD
BARABOO, WI
NPI
1053475343
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI 2166)
Enumeration Date
2006-12-20
Last Update Date
2007-07-08
Business Address
JUDY A HANNAFORD CADC III
1510 JEFFERSON ST
BARABOO, WI 53913
Phone number: 608-356-1533
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Mailing Address
JUDY A HANNAFORD CADC III
707 14TH ST
BARABOO, WI 53913-1539
Phone number: 608-356-1400
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