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1619618071
LAURA MAE PASKE
MENASHA, WI
NPI
1619618071
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 16555)
Enumeration Date
2022-04-07
Last Update Date
2022-04-14
Business Address
LAURA MAE PASKE SAC
1095 MIDWAY RD
MENASHA, WI 54952-1115
Phone number: 920-720-2300
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Mailing Address
LAURA MAE PASKE SAC
731 S TELULAH AVE
APPLETON, WI 54915-3422
Phone number: 920-889-3239
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