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1346590452
LISA DUNHAM
JEFFERSON, WI
NPI
1346590452
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WI 7851-123)
Enumeration Date
2012-09-17
Last Update Date
2015-02-09
Business Address
-- LISA DUNHAM LCSW
1541 ANNEX RD
JEFFERSON, WI 53549-9803
Phone number: 920-674-7424
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Mailing Address
-- LISA DUNHAM LCSW
1541 ANNEX RD
JEFFERSON, WI 53549-9803
Phone number: 920-674-7424
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