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1952482267
LEESA MARIE WIEDHOLZ-ABBOTT
KENOSHA, WI
NPI
1952482267
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Former Name
LEESA MARIE WIEDHOLZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: WI 2352-057)
Enumeration Date
2006-10-17
Last Update Date
2007-07-08
Business Address
LEESA MARIE WIEDHOLZ-ABBOTT PSY.D.
3734 7TH AVE SUITE 12
KENOSHA, WI 53140-5525
Phone number: 262-654-9370
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Mailing Address
LEESA MARIE WIEDHOLZ-ABBOTT PSY.D.
815 NORTHDALE DR
RACINE, WI 53402-2759
Phone number: 262-752-4205
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