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1639608698
PAULINE E ORTLOFF
RACINE, WI
NPI
1639608698
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI 10709-132)
Enumeration Date
2017-06-05
Last Update Date
2017-06-05
Business Address
MRS. PAULINE E ORTLOFF BS, CSAC, ICS
1717 TAYLOR AVENUE
RACINE, WI 53403
Phone number: 262-638-6744
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Mailing Address
MRS. PAULINE E ORTLOFF BS, CSAC, ICS
13922 WILMOT RD
KENOSHA, WI 53142-7924
Phone number:
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