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1235516758
DIANE RECOB
FITCHBURG, WI
NPI
1235516758
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: WI 129349121)
Enumeration Date
2015-05-05
Last Update Date
2015-05-05
Business Address
-- DIANE RECOB CAPSW
5574 LONGFORD TER
FITCHBURG, WI 53711-6900
Phone number: 608-345-7018
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Mailing Address
-- DIANE RECOB CAPSW
5574 LONGFORD TER
FITCHBURG, WI 53711-6900
Phone number: 608-345-7018
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