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1316543226
KELLY C DELEON
SHEBOYGAN, WI
NPI
1316543226
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 18915)
Enumeration Date
2020-12-07
Last Update Date
2020-12-07
Business Address
KELLY C DELEON
2842 S BUSINESS DR
SHEBOYGAN, WI 53081-6518
Phone number: 920-251-2307
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Mailing Address
KELLY C DELEON
2842 S BUSINESS DR
SHEBOYGAN, WI 53081-6518
Phone number: 920-251-2307
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