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1700055449
JENNIFER R COYNE
MENOMONIE, WI
NPI
1700055449
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 15411131)
Enumeration Date
2008-02-27
Last Update Date
2008-02-27
Business Address
-- JENNIFER R COYNE SAC
320 21ST ST N
MENOMONIE, WI 54751-2228
Phone number: 715-235-4537
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Mailing Address
-- JENNIFER R COYNE SAC
320 21ST ST N
MENOMONIE, WI 54751-2228
Phone number: 715-235-4537
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