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1336318948
SUSAN JEAN COWELL
LA CROSSE, WI
NPI
1336318948
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 10813-132)
Enumeration Date
2008-02-27
Last Update Date
2008-02-27
Business Address
-- SUSAN JEAN COWELL CSAC, ICS
319 MAIN ST STE 302
LA CROSSE, WI 54601-0707
Phone number: 608-796-0987
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Mailing Address
-- SUSAN JEAN COWELL CSAC, ICS
1046 SCHAFER DR
ONALASKA, WI 54650-3027
Phone number: 108-781-5225
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