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1467648899
BLANCA DE LEON
FOND DU LAC, WI
NPI
1467648899
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: WI 7882-123)
Enumeration Date
2007-09-19
Last Update Date
2013-07-01
Business Address
-- BLANCA DE LEON MSW
459 E 1ST ST
FOND DU LAC, WI 54935-4505
Phone number: 920-929-3579
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Mailing Address
-- BLANCA DE LEON MSW
459 E 1ST ST
FOND DU LAC, WI 54935-4505
Phone number: 920-929-3549
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