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1851062665
ANGELA L SMITH
APPLETON, WI
NPI
1851062665
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 19506-130)
Enumeration Date
2021-09-22
Last Update Date
2021-09-22
Business Address
ANGELA L SMITH
3301 N BALLARD RD STE B
APPLETON, WI 54911-9002
Phone number: 920-733-4443
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Mailing Address
ANGELA L SMITH
3301 N BALLARD RD STE B
APPLETON, WI 54911-9002
Phone number: 920-733-4443
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