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1841917374
ALTA HERPEL
WAUKESHA, WI
NPI
1841917374
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Former Name
ALTA FORD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI 19795)
Enumeration Date
2022-10-25
Last Update Date
2022-10-25
Business Address
ALTA HERPEL
255 W BROADWAY
WAUKESHA, WI 53186-4832
Phone number: 262-420-9088
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Mailing Address
ALTA HERPEL
255 W BROADWAY
WAUKESHA, WI 53186-4832
Phone number: 262-420-9088
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