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1386793248
TINA MARIE BAETEN
GREEN BAY, WI
NPI
1386793248
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 13791)
Enumeration Date
2007-01-09
Last Update Date
2022-12-06
Business Address
TINA MARIE BAETEN LCSW
2920 S WEBSTER AVE STE B
GREEN BAY, WI 54301-1594
Phone number: 920-632-4471
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Mailing Address
TINA MARIE BAETEN LCSW
1090 S TAMIAMI TRL
SARASOTA, FL 34236-9116
Phone number: 904-605-4986
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