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1841756921
LISA ANN PURTUE
WEST ALLIS, WI
NPI
1841756921
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 18388-130)
Enumeration Date
2019-02-14
Last Update Date
2020-02-04
Business Address
Mrs. LISA ANN PURTUE
2814 S 108TH ST
WEST ALLIS, WI 53227-3224
Phone number: 920-926-0101
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Mailing Address
Mrs. LISA ANN PURTUE
23 W SCOTT ST
FOND DU LAC, WI 54935-2342
Phone number: 920-926-0101
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