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1801227699
JASON STOFFEL
APPLETON, WI
NPI
1801227699
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 16693-130)
Enumeration Date
2013-12-05
Last Update Date
2013-12-05
Business Address
-- JASON STOFFEL
3301 N BALLARD RD STE B
APPLETON, WI 54911-9002
Phone number: 920-733-4443
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Mailing Address
-- JASON STOFFEL
3301 N BALLARD RD STE B
APPLETON, WI 54911-9002
Phone number: 920-733-4443
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