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1235651548
BROOKLYNN ELIZABETH SULLIVAN
LA CROSSE, WI
NPI
1235651548
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 130660)
Enumeration Date
2017-07-10
Last Update Date
2022-07-21
Business Address
BROOKLYNN ELIZABETH SULLIVAN
300 4TH ST N
LA CROSSE, WI 54601-3228
Phone number: 608-785-6031
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Mailing Address
BROOKLYNN ELIZABETH SULLIVAN
300 4TH ST N
LA CROSSE, WI 54601-3228
Phone number: 608-785-6031
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