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1821611591
SATIA KAVANAUGH VANDERLOOP
GREEN BAY, WI
NPI
1821611591
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: WI 4712-226)
Enumeration Date
2020-05-28
Last Update Date
2021-07-27
Business Address
SATIA KAVANAUGH VANDERLOOP MS, CRC, LPC-IT
3150 GERSHWIN DR
GREEN BAY, WI 54311-4328
Phone number: 920-809-6766
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Mailing Address
SATIA KAVANAUGH VANDERLOOP MS, CRC, LPC-IT
2200 GREEN BAY RD APT 311
KAUKAUNA, WI 54130-1260
Phone number: 920-419-5771
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