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1770887028
TEKIA LONGSTREET
WAUSAU, WI
NPI
1770887028
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI 15751-131)
Enumeration Date
2010-12-30
Last Update Date
2012-06-15
Business Address
TEKIA LONGSTREET SAC
209 W WASHINGTON ST SUITE B
WAUSAU, WI 54403-5475
Phone number: 175-845-3637
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Mailing Address
TEKIA LONGSTREET SAC
209 W WASHINGTON ST SUITE B
WAUSAU, WI 54403-5475
Phone number: 175-845-3637
Copy
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