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1619043999
CONNIE L NELSON
WISCONSIN RAPIDS, WI
NPI
1619043999
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 11628)
Enumeration Date
2006-11-28
Last Update Date
2007-07-08
Business Address
Mrs. CONNIE L NELSON CADCIII
2611 12TH ST S
WISCONSIN RAPIDS, WI 54494
Phone number: 715-421-8840
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Mailing Address
Mrs. CONNIE L NELSON CADCIII
2611 12TH ST S
WISCONSIN RAPIDS, WI 54494
Phone number: 715-421-8840
Copy
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