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1396162012
KIMBERLY BROCHTRUP
APPLETON, WI
NPI
1396162012
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 16698-130)
Enumeration Date
2014-03-19
Last Update Date
2014-03-19
Business Address
-- KIMBERLY BROCHTRUP
607 W 7TH ST
APPLETON, WI 54911-5923
Phone number: 920-739-3235
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Mailing Address
-- KIMBERLY BROCHTRUP
607 W 7TH ST
APPLETON, WI 54911-5923
Phone number:
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