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1750025490
CELINE A KONETZKE
APPLETON, WI
NPI
1750025490
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 19649)
Enumeration Date
2022-04-27
Last Update Date
2022-04-27
Business Address
CELINE A KONETZKE SAC-IT
3301 N BALLARD RD STE B
APPLETON, WI 54911-9002
Phone number: 920-733-4443
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Mailing Address
CELINE A KONETZKE SAC-IT
3301 N BALLARD RD STE B
APPLETON, WI 54911-9002
Phone number: 920-733-4443
Copy
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