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1831218114
DALE A WALLENTINE
LA CROSSE, WI
NPI
1831218114
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: WI 3139-120)
Enumeration Date
2007-03-28
Last Update Date
2007-07-08
Business Address
Mr. DALE A WALLENTINE BS psy
1407 SAINT ANDREW ST STE 100
LA CROSSE, WI 54603-2378
Phone number: 608-785-6304
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Mailing Address
Mr. DALE A WALLENTINE BS psy
2801 27TH ST S
LA CROSSE, WI 54601-7653
Phone number: 608-790-4802
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