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1245575158
HOLLY MICHELLE GIFFORD
ELKHORN, WI
NPI
1245575158
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: WI 1416-226)
Enumeration Date
2012-12-04
Last Update Date
2012-12-04
Business Address
-- HOLLY MICHELLE GIFFORD LPC-IT
W4051 COUNTY ROAD NN
ELKHORN, WI 53121-4338
Phone number: 262-741-3307
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Mailing Address
-- HOLLY MICHELLE GIFFORD LPC-IT
1155 SAGE ST
LAKE GENEVA, WI 53147-1235
Phone number: 262-358-2411
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