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1578912762
STEPHANIE ISHAM
EAU CLAIRE, WI
NPI
1578912762
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 160217)
Enumeration Date
2016-06-08
Last Update Date
2016-06-08
Business Address
-- STEPHANIE ISHAM
3440 OAKWOOD HILLS PKWY
EAU CLAIRE, WI 54701-7698
Phone number: 800-380-8273
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Mailing Address
-- STEPHANIE ISHAM
3440 OAKWOOD HILLS PKWY
EAU CLAIRE, WI 54701
Phone number:
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