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1720453988
CAROL ALICE SMITH
RACINE, WI
NPI
1720453988
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 16026-131)
Enumeration Date
2015-12-14
Last Update Date
2015-12-14
Business Address
Ms. CAROL ALICE SMITH
1717 TAYLOR AVE
RACINE, WI 53403-2405
Phone number: 262-638-6480
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Mailing Address
Ms. CAROL ALICE SMITH
1717 TAYLOR AVE
RACINE, WI 53403-2405
Phone number: 262-638-6480
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