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1588218093
ANGEL ANDERSON
GREEN BAY, WI
NPI
1588218093
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI 18937-130)
Enumeration Date
2019-08-01
Last Update Date
2019-08-01
Business Address
ANGEL ANDERSON SACIT
2357 W MASON ST
GREEN BAY, WI 54303-4708
Phone number: 920-337-6740
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Mailing Address
ANGEL ANDERSON SACIT
2357 W MASON ST
GREEN BAY, WI 54303-4708
Phone number: 920-337-6740
Copy
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