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1497402762
LESLIE FENNINGER
WAUKESHA, WI
NPI
1497402762
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 18788)
Enumeration Date
2022-03-07
Last Update Date
2022-03-07
Business Address
LESLIE FENNINGER SAC-IT
255 W BROADWAY
WAUKESHA, WI 53186-4832
Phone number: 262-420-9088
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Mailing Address
LESLIE FENNINGER SAC-IT
255 W BROADWAY
WAUKESHA, WI 53186-4832
Phone number:
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