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1528369501
MICHELLE LEE SIVANICH
LA CROSSE, WI
NPI
1528369501
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: WI 10631-120)
Enumeration Date
2010-11-08
Last Update Date
2010-12-02
Business Address
Ms. MICHELLE LEE SIVANICH BSW in social work
1407 SAINT ANDREW ST STE 100
LA CROSSE, WI 54603-2378
Phone number: 608-785-6265
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Mailing Address
Ms. MICHELLE LEE SIVANICH BSW in social work
1006 ROSE ST
LA CROSSE, WI 54603-2537
Phone number: 608-782-1821
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