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1629688726
LESLIE MAE RADDATZ
FOND DU LAC, WI
NPI
1629688726
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI 18760-130)
Enumeration Date
2020-08-04
Last Update Date
2023-06-21
Business Address
LESLIE MAE RADDATZ LPC, SAC-IT
23 W SCOTT ST
FOND DU LAC, WI 54935-2342
Phone number: 920-926-0101
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Mailing Address
LESLIE MAE RADDATZ LPC, SAC-IT
505 S WASHBURN ST
OSHKOSH, WI 54904-7949
Phone number: 920-232-2332
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