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1083436067
ILLUMINATE MENTAL HEALTH LLC
APPLETON, WI
NPI
1083436067
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Entity Type
Organization
Authorized Contact
DEDRA M BUTEYN
Owner
920-215-2260
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-10-30
Last Update Date
2024-10-30
Business Address
ILLUMINATE MENTAL HEALTH LLC
626 E LONGVIEW DR LOWR LEVEL
APPLETON, WI 54911-2130
Phone number: 920-215-2260
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Mailing Address
ILLUMINATE MENTAL HEALTH LLC
626 E LONGVIEW DR LOWR LEVEL
APPLETON, WI 54911-2130
Phone number: 920-215-2260
Copy
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