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1215318613
JACKIE MAECHTLE
APPLETON, WI
NPI
1215318613
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 17438-130)
Enumeration Date
2015-06-11
Last Update Date
2015-06-11
Business Address
-- JACKIE MAECHTLE SACIT
1000 N LYNNDALE DR SUITE C
APPLETON, WI 54914-3056
Phone number: 920-735-9010
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Mailing Address
-- JACKIE MAECHTLE SACIT
1000 N LYNNDALE DR SUITE C
APPLETON, WI 54914-3056
Phone number: 920-735-9010
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