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1407045966
KERRIE JO LARSONKERKMAN
APPLETON, WI
NPI
1407045966
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 2153-132)
Enumeration Date
2007-10-22
Last Update Date
2019-02-15
Business Address
KERRIE JO LARSONKERKMAN CSAC
1531 S MADISON ST
APPLETON, WI 54915-1800
Phone number: 920-738-2000
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Mailing Address
KERRIE JO LARSONKERKMAN CSAC
40 JEWELERS PARK DR STE 200
NEENAH, WI 54956-3893
Phone number: 920-205-8336
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