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1346928710
TABITHA MARIE LEQUE
FOND DU LAC, WI
NPI
1346928710
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: WI 134414-121)
Enumeration Date
2023-07-06
Last Update Date
2023-07-06
Business Address
TABITHA MARIE LEQUE APSW
N5682 COUNTY ROAD K
FOND DU LAC, WI 54937-7908
Phone number: 877-300-9101
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Mailing Address
TABITHA MARIE LEQUE APSW
631 4TH ST
FOND DU LAC, WI 54935-5309
Phone number: 920-904-6762
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