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1720713837
IMPACT MENTAL HEALTH THERAPY LLC
GREEN BAY, WI
NPI
1720713837
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Entity Type
Organization
Authorized Contact
HALLIE M BARBARA
President
507-696-4034
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2022-07-21
Last Update Date
2022-07-21
Business Address
IMPACT MENTAL HEALTH THERAPY LLC
2300 RIVERSIDE DR
GREEN BAY, WI 54301-1900
Phone number: 507-696-4034
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Mailing Address
IMPACT MENTAL HEALTH THERAPY LLC
2250 MEADOW RIDGE DR
DE PERE, WI 54115-7200
Phone number: 507-696-4034
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