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1740466093
PAMELA A. LAMACCHIA
KENOSHA, WI
NPI
1740466093
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI 1647-132)
Enumeration Date
2008-01-17
Last Update Date
2008-05-27
Business Address
PAMELA A. LAMACCHIA CSAC
3535 30TH AVE SUITE 202
KENOSHA, WI 53144-1632
Phone number: 262-842-0500
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Mailing Address
PAMELA A. LAMACCHIA CSAC
285 N JANACEK RD
BROOKFIELD, WI 53045-6102
Phone number: 262-641-9050
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