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1659020097
MARIA THERESA BARRERA GUTIERREZ
GREEN BAY, WI
NPI
1659020097
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 19627-130)
Enumeration Date
2022-03-22
Last Update Date
2022-03-22
Business Address
MARIA THERESA BARRERA GUTIERREZ SAC IT
621 E WALNUT ST
GREEN BAY, WI 54301-4001
Phone number: 920-264-5031
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Mailing Address
MARIA THERESA BARRERA GUTIERREZ SAC IT
PO BOX 1085
GREEN BAY, WI 54305-1085
Phone number: 920-264-5031
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