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1508415134
JORDAN CASEY MANLEY AMUNDSEN
EAU CLAIRE, WI
NPI
1508415134
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Former Name
JORDAN CASEY MANLEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: WI 4492-226)
Enumeration Date
2019-09-06
Last Update Date
2019-10-18
Business Address
JORDAN CASEY MANLEY AMUNDSEN
120 S BARSTOW ST
EAU CLAIRE, WI 54701-3642
Phone number: 877-967-5577
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Mailing Address
JORDAN CASEY MANLEY AMUNDSEN
120 S BARSTOW ST
EAU CLAIRE, WI 54701-3642
Phone number: 877-967-5577
Copy
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