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1205329307
ALICIA NEITZEL
FOND DU LAC, WI
NPI
1205329307
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-06-13
Last Update Date
2018-06-13
Business Address
ALICIA NEITZEL
23 W SCOTT ST
FOND DU LAC, WI 54935
Phone number: 920-926-0101
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Mailing Address
ALICIA NEITZEL
267 E MAIN ST
CAMPBELLSPORT, WI 53010-2703
Phone number: 920-533-5073
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