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1437433992
BONNIE L. WHITE
MEQUON, WI
NPI
1437433992
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 16099-130)
Enumeration Date
2011-10-03
Last Update Date
2011-10-03
Business Address
-- BONNIE L. WHITE MA, SAC-IT
10532 N PORT WASHINGTON RD SUITE 1B
MEQUON, WI 53092-5563
Phone number: 262-242-3810
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Mailing Address
-- BONNIE L. WHITE MA, SAC-IT
10532 N PORT WASHINGTON RD SUITE 1B
MEQUON, WI 53092-5563
Phone number: 262-242-3810
Copy
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