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1992237440
ALEXIS RITA SMITH
GREEN BAY, WI
NPI
1992237440
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 18047)
Enumeration Date
2017-04-03
Last Update Date
2017-04-03
Business Address
-- ALEXIS RITA SMITH SAC-IT
630 CHERRY ST
GREEN BAY, WI 54301-4931
Phone number: 920-435-2093
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Mailing Address
-- ALEXIS RITA SMITH SAC-IT
630 SAINT JAMES CIRCLE
GREEN BAY, WI 54301
Phone number: 920-435-2093
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