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1588133698
CORTLEE PLASS
GREEN BAY, WI
NPI
1588133698
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 18671-130)
Enumeration Date
2018-11-19
Last Update Date
2018-11-19
Business Address
CORTLEE PLASS CSAC
2357 W MASON ST
GREEN BAY, WI 54303-4708
Phone number: 920-337-6740
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Mailing Address
CORTLEE PLASS CSAC
2357 W MASON ST
GREEN BAY, WI 54303-4708
Phone number: 920-337-6740
Copy
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