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1275077158
LACEY BENIKE
FOND DU LAC, WI
NPI
1275077158
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: WI 129671-121)
Enumeration Date
2016-12-12
Last Update Date
2016-12-12
Business Address
-- LACEY BENIKE
459 E 1ST ST
FOND DU LAC, WI 54935-4505
Phone number: 920-929-3500
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Mailing Address
-- LACEY BENIKE
459 E 1ST ST
FOND DU LAC, WI 54935-4505
Phone number: 920-929-3500
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