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1457868663
JESSE BROGLEY
LANCASTER, WI
NPI
1457868663
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 770-124)
Enumeration Date
2018-01-09
Last Update Date
2018-01-09
Business Address
JESSE BROGLEY LPC-IT
200 W ALONA LN
LANCASTER, WI 53813-2202
Phone number: 608-723-6357
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Mailing Address
JESSE BROGLEY LPC-IT
200 W ALONA LN
LANCASTER, WI 53813-2202
Phone number: 608-723-6357
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