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1730451865
JEANETTE KSIONEK
APPLETON, WI
NPI
1730451865
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 1155132)
Enumeration Date
2012-02-06
Last Update Date
2012-02-06
Business Address
-- JEANETTE KSIONEK CSAC
4000 W SPENCER ST
APPLETON, WI 54914-4015
Phone number: 920-735-9010
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Mailing Address
-- JEANETTE KSIONEK CSAC
4000 W SPENCER ST
APPLETON, WI 54914-4015
Phone number: 920-735-9010
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