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1679081426
JESSLYN L GEIDEL
GREEN BAY, WI
NPI
1679081426
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 17113-130)
Enumeration Date
2018-01-15
Last Update Date
2021-02-02
Business Address
JESSLYN L GEIDEL CSAC
2640 W POINT RD
GREEN BAY, WI 54304-1344
Phone number: 920-490-3790
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Mailing Address
JESSLYN L GEIDEL CSAC
PO BOX 365
ONEIDA, WI 54155-0365
Phone number: 920-490-3790
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