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1124239017
MICHELLE LYNN IRISH
APPLETON, WI
NPI
1124239017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 682)
Enumeration Date
2007-05-24
Last Update Date
2007-07-08
Business Address
Ms. MICHELLE LYNN IRISH LCSW,CSAC
5583 WATERFORD LN STE D
APPLETON, WI 54913-8441
Phone number: 920-733-2065
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Mailing Address
Ms. MICHELLE LYNN IRISH LCSW,CSAC
1194 BLAKES WAY
MENASHA, WI 54952
Phone number: 920-205-2401
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