SHELLY LYNN DUTCH

MADISON, WI
NPI1669678512
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  1047-132)
Enumeration Date2007-06-26
Last Update Date2007-07-08
Business Address
-- SHELLY LYNN DUTCH CSAC, ICS
1334 APPLEGATE RD SUITE 101
MADISON, WI 53713-3184
Phone number: 608-221-1500
Mailing Address
-- SHELLY LYNN DUTCH CSAC, ICS
1334 APPLEGATE RD SUITE 101
MADISON, WI 53713-3184
Phone number: 608-221-1500
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