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1528059631
LYNETTE BAUER
PORT WASHINGTON, WI
NPI
1528059631
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 1699)
Enumeration Date
2005-10-31
Last Update Date
2007-07-08
Business Address
-- LYNETTE BAUER CADC III
121 W MAIN ST SUITE 350
PORT WASHINGTON, WI 53074-1813
Phone number: 262-284-8130
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Mailing Address
-- LYNETTE BAUER CADC III
PO BOX 994
PORT WASHINGTON, WI 53074-0994
Phone number: 262-284-8130
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