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1205167426
MARY MICELI-WINK
GREEN BAY, WI
NPI
1205167426
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 1198)
Enumeration Date
2010-01-28
Last Update Date
2010-01-28
Business Address
-- MARY MICELI-WINK CSAC
3150 GERSHWIN DRIVE
GREEN BAY, WI 54311-5859
Phone number: 920-391-6940
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Mailing Address
-- MARY MICELI-WINK CSAC
3150 GERSHWIN DRIVE
GREEN BAY, WI 54311-5859
Phone number: 920-391-6940
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