JACQUELINE VENESIA MCRAE

MOUNT PLEASANT, WI
NPI1992290381
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  18414-130)
Enumeration Date2018-06-27
Last Update Date2018-06-27
Business Address
JACQUELINE VENESIA MCRAE ICS, SAC-IT
4810 NORTHWESTERN AVE
MOUNT PLEASANT, WI 53406-1504
Phone number: 262-637-9984
Mailing Address
JACQUELINE VENESIA MCRAE ICS, SAC-IT
4810 NORTHWESTERN AVE
MOUNT PLEASANT, WI 53406-1504
Phone number: 262-637-9984
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