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1255810115
JENNIFER LYNN TENNESSEN
APPLETON, WI
NPI
1255810115
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 18280-130)
Enumeration Date
2018-08-11
Last Update Date
2018-08-11
Business Address
Mrs. JENNIFER LYNN TENNESSEN SAC-IT
3301 N BALLARD RD STE B
APPLETON, WI 54911-9002
Phone number: 920-851-4468
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Mailing Address
Mrs. JENNIFER LYNN TENNESSEN SAC-IT
N472 KILSDONK CT
APPLETON, WI 54915-8726
Phone number: 920-851-4468
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