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1124730023
EMBODIED-WELLLBEING
GREEN BAY, WI
NPI
1124730023
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Entity Type
Organization
Authorized Contact
KEITH PAUL NEILITZ
Clinical Therapist
920-521-8940
Organization Subpart ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
Enumeration Date
2022-12-22
Last Update Date
2023-11-03
Business Address
EMBODIED-WELLLBEING
2501 JENNY LANE
GREEN BAY, WI 54302
Phone number: 920-212-7523
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Mailing Address
EMBODIED-WELLLBEING
2501 JENNY LN APT 8
GREEN BAY, WI 54302-5039
Phone number: 920-521-8940
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