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1659588192
CHRISTY L LE
HAYWARD, WI
NPI
1659588192
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 14862)
Enumeration Date
2007-05-16
Last Update Date
2007-07-08
Business Address
-- CHRISTY L LE
13380 W TREPANIA RD
HAYWARD, WI 54843-2186
Phone number: 715-638-5100
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Mailing Address
-- CHRISTY L LE
PO BOX 83
COUDERAY, WI 54828-0083
Phone number:
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