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1104977057
DANIEL ROBERT HOLSTEAD
GREEN BAY, WI
NPI
1104977057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WI 526)
Enumeration Date
2007-01-16
Last Update Date
2007-07-08
Business Address
-- DANIEL ROBERT HOLSTEAD
130 E WALNUT ST SUITE 706
GREEN BAY, WI 54301-4239
Phone number: 920-437-8256
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Mailing Address
-- DANIEL ROBERT HOLSTEAD
130 E WALNUT ST SUITE 706
GREEN BAY, WI 54301-4239
Phone number: 920-437-8256
Copy
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