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1295579894
GRACE C SPHATT
FOND DU LAC, WI
NPI
1295579894
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 20539-130)
Enumeration Date
2024-06-20
Last Update Date
2024-06-20
Business Address
GRACE C SPHATT
23 W SCOTT ST
FOND DU LAC, WI 54935-2342
Phone number: 920-926-0101
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Mailing Address
GRACE C SPHATT
8444 N 90TH ST STE 100
SCOTTSDALE, AZ 85258-4437
Phone number: 602-248-8886
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