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1780119990
ABIGAIL WINCEK
KENOSHA, WI
NPI
1780119990
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 16131-132)
Enumeration Date
2017-04-25
Last Update Date
2017-04-25
Business Address
-- ABIGAIL WINCEK
2108 63RD ST
KENOSHA, WI 53143-4454
Phone number: 262-652-2406
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Mailing Address
-- ABIGAIL WINCEK
2108 63RD ST
KENOSHA, WI 53143-4454
Phone number: 262-652-2406
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