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1992415731
KELSEY BURG
FOND DU LAC, WI
NPI
1992415731
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 19803-130)
Enumeration Date
2022-12-02
Last Update Date
2024-03-07
Business Address
KELSEY BURG
459 E 1ST ST
FOND DU LAC, WI 54935-4505
Phone number: 920-929-3500
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Mailing Address
KELSEY BURG
459 E 1ST ST
FOND DU LAC, WI 54935-4505
Phone number: 920-929-3500
Copy
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