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1235366683
BRIDGET S LEE
ELKHORN, WI
NPI
1235366683
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 15619-130)
Enumeration Date
2009-06-12
Last Update Date
2009-06-12
Business Address
-- BRIDGET S LEE
W4051 COUNTY RD NN
ELKHORN, WI 53121
Phone number: 262-741-3200
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Mailing Address
-- BRIDGET S LEE
PO BOX 1005
ELKHORN, WI 53121
Phone number: 262-741-3200
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