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1265147219
CODY KENNETH SWEENEY
APPLETON, WI
NPI
1265147219
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: WI 10725-125)
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2023-01-13
Last Update Date
2024-07-12
Business Address
CODY KENNETH SWEENEY LPC
2459 W PERSHING ST APT 22
APPLETON, WI 54914-6038
Phone number: 715-412-2401
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Mailing Address
CODY KENNETH SWEENEY LPC
2459 W PERSHING ST APT 22
APPLETON, WI 54914-6038
Phone number: 715-412-2401
Copy
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