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1316066590
JEWELL MARIE BREITENGROSS
LA CROSSE, WI
NPI
1316066590
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: WI 5337-120)
Enumeration Date
2007-03-28
Last Update Date
2007-07-08
Business Address
Ms. JEWELL MARIE BREITENGROSS BSW
1407 SAINT ANDREW ST SUITE 100
LA CROSSE, WI 54603-3301
Phone number: 608-785-5576
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Mailing Address
Ms. JEWELL MARIE BREITENGROSS BSW
611 23RD ST N
LA CROSSE, WI 54601-3853
Phone number: 608-796-0146
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