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1508487695
BETHANY MARIE SHOEMAKER
MADISON, WI
NPI
1508487695
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 19155-130)
Enumeration Date
2020-04-30
Last Update Date
2020-04-30
Business Address
BETHANY MARIE SHOEMAKER SAC-IT
5109 WORLD DAIRY DR
MADISON, WI 53718-3807
Phone number: 608-242-0220
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Mailing Address
BETHANY MARIE SHOEMAKER SAC-IT
5109 WORLD DAIRY DR
MADISON, WI 53718-3807
Phone number: 608-242-0220
Copy
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