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1235779240
CONSCIOUS PRACTICE, LLC
LA CROSSE, WI
NPI
1235779240
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Entity Type
Organization
Authorized Contact
MONICA GORSKI
Owner
608-406-4477
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2020-01-08
Last Update Date
2020-05-19
Business Address
CONSCIOUS PRACTICE, LLC
119 19TH ST N
LA CROSSE, WI 54601-3724
Phone number: 608-406-4477
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Mailing Address
CONSCIOUS PRACTICE, LLC
505 KING ST STE 218
LA CROSSE, WI 54601-4289
Phone number: 608-406-4477
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