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1740855675
NATOSHIA WAWIORKA
GREEN BAY, WI
NPI
1740855675
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 19450)
Enumeration Date
2021-05-24
Last Update Date
2021-05-24
Business Address
NATOSHIA WAWIORKA SAC-T
621 E WALNUT ST
GREEN BAY, WI 54301-4001
Phone number: 920-435-2093
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Mailing Address
NATOSHIA WAWIORKA SAC-T
PO BOX 1085
GREEN BAY, WI 54305-1085
Phone number: 920-435-2093
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