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1922369081
CHELSIE VANLIESHOUT
WAUKESHA, WI
NPI
1922369081
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 16615-130)
Enumeration Date
2012-06-06
Last Update Date
2012-06-06
Business Address
-- CHELSIE VANLIESHOUT SAC-IT
2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188-6105
Phone number: 262-549-6600
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Mailing Address
-- CHELSIE VANLIESHOUT SAC-IT
2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188-6105
Phone number: 262-549-6600
Copy
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