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1891922183
CHERYL J ROOT
OSHKOSH, WI
NPI
1891922183
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 15430-131)
Enumeration Date
2009-06-15
Last Update Date
2009-06-15
Business Address
-- CHERYL J ROOT SAC
502 E NEW YORK AVE
OSHKOSH, WI 54901-3938
Phone number: 920-651-1844
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Mailing Address
-- CHERYL J ROOT SAC
502 E NEW YORK AVE
OSHKOSH, WI 54901-3938
Phone number: 920-651-1844
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