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1255599676
TRACY HANNEMAN
APPLETON, WI
NPI
1255599676
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2008-06-02
Last Update Date
2008-06-02
Business Address
TRACY HANNEMAN
1531 S MADISON ST SUITE 580
APPLETON, WI 54915-1800
Phone number: 920-831-8437
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Mailing Address
TRACY HANNEMAN
1570 MIDWAY PL
MENASHA, WI 54952-1165
Phone number: 920-720-1464
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