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1598581928
SHELBY JACOBSON
ONALASKA, WI
NPI
1598581928
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 20712-130)
Enumeration Date
2024-12-02
Last Update Date
2024-12-02
Business Address
SHELBY JACOBSON
9532 E 16 FRONTAGE RD
ONALASKA, WI 54650-6739
Phone number: 608-783-0506
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Mailing Address
SHELBY JACOBSON
9532 E 16 FRONTAGE RD
ONALASKA, WI 54650-6739
Phone number: 608-783-0506
Copy
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