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1790847655
ELLEN C NEEDHAM
APPLETON, WI
NPI
1790847655
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WI 2113-123)
Enumeration Date
2006-12-15
Last Update Date
2007-07-08
Business Address
-- ELLEN C NEEDHAM MSW
103 W COLLEGE AVE #815
APPLETON, WI 54911
Phone number: 920-733-1992
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Mailing Address
-- ELLEN C NEEDHAM MSW
103 W COLLEGE AVE #815
APPLETON, WI 54911
Phone number: 920-733-1992
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