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1295156123
CASEY LEVRICH
GREEN BAY, WI
NPI
1295156123
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 16797-130)
Enumeration Date
2013-12-19
Last Update Date
2013-12-19
Business Address
-- CASEY LEVRICH
630 CHERRY ST
GREEN BAY, WI 54301-4931
Phone number: 920-435-2093
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Mailing Address
-- CASEY LEVRICH
630 CHERRY ST
GREEN BAY, WI 54301-4931
Phone number:
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