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1912659053
PATTI HANSEN
RACINE, WI
NPI
1912659053
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 16014-132)
Enumeration Date
2022-01-20
Last Update Date
2022-01-20
Business Address
PATTI HANSEN
1717 TAYLOR AVE
RACINE, WI 53403-2405
Phone number: 262-638-6635
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Mailing Address
PATTI HANSEN
1717 TAYLOR AVE
RACINE, WI 53403-2405
Phone number: 262-638-6635
Copy
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