KIMEKO JEAN HAGEN

APPLETON, WI
NPI1508073271
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  14280-130)
Enumeration Date2007-05-16
Last Update Date2007-07-08
Business Address
Mrs. KIMEKO JEAN HAGEN B.S, SAC-IT
4000 W SPENCER ST
APPLETON, WI 54914-4015
Phone number: 920-735-9010
Mailing Address
Mrs. KIMEKO JEAN HAGEN B.S, SAC-IT
13 NORTH GREVES COURT
APPLETON, WI 54914
Phone number: 920-993-9661
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