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1699222687
LACEY JEAN QUALE
LA CROSSE, WI
NPI
1699222687
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: WI 12047-120)
Enumeration Date
2016-09-07
Last Update Date
2016-09-07
Business Address
-- LACEY JEAN QUALE CSW
1407 SAINT ANDREW ST SUITE 100
LA CROSSE, WI 54603-3301
Phone number: 608-785-6266
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Mailing Address
-- LACEY JEAN QUALE CSW
615 MCHUGH RD APT 7
HOLMEN, WI 54636-9393
Phone number: 715-271-8197
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