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1639424955
HEIDI KLEINSCHMIDT
GREEN BAY, WI
NPI
1639424955
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 15900131)
Enumeration Date
2012-07-24
Last Update Date
2014-11-19
Business Address
-- HEIDI KLEINSCHMIDT SAC
1701 DOUSMAN ST
GREEN BAY, WI 54303-3211
Phone number: 920-803-0740
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Mailing Address
-- HEIDI KLEINSCHMIDT SAC
630 CHERRY ST
GREEN BAY, WI 54301-4931
Phone number: 920-435-2580
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