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1144203936
MICHAEL LEO CHAMPEAU
RACINE, WI
NPI
1144203936
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: WI 1106123)
Enumeration Date
2005-11-25
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL LEO CHAMPEAU LCSW
2711 19TH ST
RACINE, WI 53403-2314
Phone number: 262-637-8888
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Mailing Address
Mr. MICHAEL LEO CHAMPEAU LCSW
2711 19TH ST
RACINE, WI 53403-2314
Phone number: 262-637-8888
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