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1750696100
MARY JO SEIDL
GREEN BAY, WI
NPI
1750696100
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI 11211-132)
Enumeration Date
2010-08-10
Last Update Date
2010-08-10
Business Address
MARY JO SEIDL CSAC
1701 DOUSMAN ST
GREEN BAY, WI 54303-3211
Phone number: 920-498-8600
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Mailing Address
MARY JO SEIDL CSAC
1185 DIVISION ST
GREEN BAY, WI 54303-3050
Phone number: 920-255-1387
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