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1356198808
CHELSEA CATHERINE WALLACE
OSHKOSH, WI
NPI
1356198808
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 20401-130)
Enumeration Date
2024-05-02
Last Update Date
2024-05-02
Business Address
CHELSEA CATHERINE WALLACE SAC-IT
3240 JACKSON ST
OSHKOSH, WI 54901-1208
Phone number: 920-231-0143
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Mailing Address
CHELSEA CATHERINE WALLACE SAC-IT
3240 JACKSON ST
OSHKOSH, WI 54901-1208
Phone number: 920-231-0143
Copy
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