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1073072906
THOMAS MITTELSTEADT
OSHKOSH, WI
NPI
1073072906
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 16290-131)
Enumeration Date
2019-03-19
Last Update Date
2019-06-11
Business Address
THOMAS MITTELSTEADT SAC
500 S OAKWOOD RD STE 102
OSHKOSH, WI 54904-7944
Phone number: 920-223-8570
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Mailing Address
THOMAS MITTELSTEADT SAC
500 S OAKWOOD RD STE 102
OSHKOSH, WI 54904-7944
Phone number: 920-223-8570
Copy
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