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1215593298
KATHY HOOVER
FOND DU LAC, WI
NPI
1215593298
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 18866-130)
Enumeration Date
2019-05-15
Last Update Date
2019-05-15
Business Address
KATHY HOOVER SAC-IT
23 W SCOTT ST
FOND DU LAC, WI 54935-2342
Phone number: 920-926-0101
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Mailing Address
KATHY HOOVER SAC-IT
165 8TH ST
FOND DU LAC, WI 54935-5153
Phone number: 920-904-2855
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