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1114135167
MARY M MCKAY
GREEN BAY, WI
NPI
1114135167
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 11588)
Enumeration Date
2007-05-21
Last Update Date
2007-07-09
Business Address
-- MARY M MCKAY CADC lll
301 E SAINT JOSEPH ST
GREEN BAY, WI 54301-2241
Phone number: 920-433-3630
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Mailing Address
-- MARY M MCKAY CADC lll
301 E SAINT JOSEPH ST
GREEN BAY, WI 54301-2241
Phone number: 920-433-3630
Copy
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