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1891396255
CASSANDRA C COATES
RACINE, WI
NPI
1891396255
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI 18959-130)
Enumeration Date
2020-11-03
Last Update Date
2020-11-03
Business Address
CASSANDRA C COATES SAC-IT
134 MAIN ST APT 117
RACINE, WI 53403-4623
Phone number: 262-822-7740
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Mailing Address
CASSANDRA C COATES SAC-IT
134 MAIN ST APT 117
RACINE, WI 53403-4623
Phone number: 262-822-7740
Copy
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