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1871631242
KERRI L HEEGEMAN
MENASHA, WI
NPI
1871631242
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 1335)
Enumeration Date
2007-02-01
Last Update Date
2007-07-08
Business Address
Ms. KERRI L HEEGEMAN CADC III,CCS-G
1201 TUCKAWAY LN
MENASHA, WI 54952-1704
Phone number: 920-733-4443
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Mailing Address
Ms. KERRI L HEEGEMAN CADC III,CCS-G
1201 TUCKAWAY LN
MENASHA, WI 54952-1704
Phone number: 920-850-5373
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