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1366518706
RICHARD R KOPELKE
WISCONSIN RAPIDS, WI
NPI
1366518706
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI 1289)
Enumeration Date
2006-11-28
Last Update Date
2007-07-08
Business Address
RICHARD R KOPELKE CADCIII
2611 12TH ST S
WISCONSIN RAPIDS, WI 54494
Phone number: 715-421-8800
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Mailing Address
RICHARD R KOPELKE CADCIII
2611 12TH ST S
WISCONSIN RAPIDS, WI 54494
Phone number: 715-421-8800
Copy
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