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1396595302
STEFFAN IMMERFALL
SUPERIOR, WI
NPI
1396595302
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MN cc04264)
Enumeration Date
2024-03-25
Last Update Date
2024-03-25
Business Address
STEFFAN IMMERFALL
2516 E 7TH ST
SUPERIOR, WI 54880-3832
Phone number: 218-349-6434
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Mailing Address
STEFFAN IMMERFALL
2516 E 7TH ST
SUPERIOR, WI 54880-3832
Phone number: 218-349-6434
Copy
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