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1447567870
GLADYS EBATA
TOMAH, WI
NPI
1447567870
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WI 4364 - 123)
Enumeration Date
2010-09-07
Last Update Date
2010-09-07
Business Address
Ms. GLADYS EBATA LCSW
27374 STATE HIGHWAY 21
TOMAH, WI 54660-4501
Phone number: 608-372-5819
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Mailing Address
Ms. GLADYS EBATA LCSW
27374 STATE HIGHWAY 21
TOMAH, WI 54660-4501
Phone number: 608-372-5819
Copy
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