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1568515922
ALICE FAYE PORTIS-PATTERSON
RACINE, WI
NPI
1568515922
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WI 947-125)
Enumeration Date
2007-01-19
Last Update Date
2007-07-08
Business Address
-- ALICE FAYE PORTIS-PATTERSON MSW
6939 MARINER DR SUITE C
RACINE, WI 53406-3938
Phone number: 262-886-8702
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Mailing Address
-- ALICE FAYE PORTIS-PATTERSON MSW
3416 DAISY LN
RACINE, WI 53405-4606
Phone number: 262-554-8743
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