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1235867359
DELILAH JORSTAD
GREEN BAY, WI
NPI
1235867359
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 19523-130)
Enumeration Date
2022-08-09
Last Update Date
2022-08-09
Business Address
DELILAH JORSTAD SAC-IT
2357 W MASON ST
GREEN BAY, WI 54303-4708
Phone number: 192-021-6440
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Mailing Address
DELILAH JORSTAD SAC-IT
2357 W MASON ST
GREEN BAY, WI 54303-4708
Phone number: 192-021-6440
Copy
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