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1881876043
JEFFREY HOLT KNUDSON
APPLETON, WI
NPI
1881876043
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 13825 130)
Enumeration Date
2007-11-29
Last Update Date
2007-11-29
Business Address
-- JEFFREY HOLT KNUDSON
4000 W. SPENCER ST. OPTIONS TREATMENT PROGRAMS INC.
APPLETON, WI 54914
Phone number: 920-735-9010
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Mailing Address
-- JEFFREY HOLT KNUDSON
4000 W. SPENCER ST. OPTIONS TREATMENT PROGRAMS INC.
APPLETON, WI 54914
Phone number: 920-735-9010
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