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1053645721
DANIEL J SQUIRES
GREEN BAY, WI
NPI
1053645721
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WI 702-226)
Enumeration Date
2009-09-28
Last Update Date
2009-09-28
Business Address
-- DANIEL J SQUIRES MA, PC-TL
331 S ADAMS ST
GREEN BAY, WI 54301-4515
Phone number: 920-445-0170
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Mailing Address
-- DANIEL J SQUIRES MA, PC-TL
331 S ADAMS ST
GREEN BAY, WI 54301-4515
Phone number: 920-445-0170
Copy
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