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1669103057
KELLY THOMACK COUNSELING
APPLETON, WI
NPI
1669103057
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Entity Type
Organization
Authorized Contact
KELLY THOMACK
Owner
920-418-1150
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-06-17
Last Update Date
2022-06-17
Business Address
KELLY THOMACK COUNSELING
5601 W GRANDE MARKET DR STE M
APPLETON, WI 54913-8506
Phone number: 920-215-1105
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Mailing Address
KELLY THOMACK COUNSELING
5601 W GRANDE MARKET DR STE M
APPLETON, WI 54913-8506
Phone number: 920-418-1150
Copy
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