JILLIAN LEE PALMBACH

APPLETON, WI
NPI1457710204
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  17632-130)
Enumeration Date2016-02-22
Last Update Date2016-02-22
Business Address
Ms. JILLIAN LEE PALMBACH 17632-130
3301 N BALLARD RD STE B
APPLETON, WI 54911-8928
Phone number: 920-733-4443
Mailing Address
Ms. JILLIAN LEE PALMBACH 17632-130
2811 W GLENPARK DR
APPLETON, WI 54914-1571
Phone number: 920-538-6261
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