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1184785966
JULIE WOCKENFUS
MENASHA, WI
NPI
1184785966
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 12323)
Enumeration Date
2006-12-13
Last Update Date
2011-03-03
Business Address
-- JULIE WOCKENFUS CSAC
1095 MIDWAY RD
MENASHA, WI 54952-1115
Phone number: 920-720-2300
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Mailing Address
-- JULIE WOCKENFUS CSAC
1095 MIDWAY RD
MENASHA, WI 54952-1115
Phone number: 920-720-2300
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