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1922534551
PENELOPE SACKETT
MADISON, WI
NPI
1922534551
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 18156 - 130)
Enumeration Date
2017-05-02
Last Update Date
2017-05-02
Business Address
-- PENELOPE SACKETT
5005 UNIVERSITY AVE STE 100
MADISON, WI 53705-5400
Phone number: 608-233-2100
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Mailing Address
-- PENELOPE SACKETT
5005 UNIVERSITY AVE STE 100
MADISON, WI 53705-5400
Phone number:
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