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1366130668
NICHOLE L GODIN
APPLETON, WI
NPI
1366130668
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 20090-130)
Enumeration Date
2023-04-26
Last Update Date
2023-04-26
Business Address
NICHOLE L GODIN SAC-IT
3301 N BALLARD RD
APPLETON, WI 54911-8928
Phone number: 920-733-4443
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Mailing Address
NICHOLE L GODIN SAC-IT
3301 N BALLARD RD
APPLETON, WI 54911-8928
Phone number: 920-733-4443
Copy
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