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Organization
CENTERPIECE LLC
Active
Organization
CENTERPIECE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE MILES BBA (OFFICE MANAGER)
(920) 660-7555
Entity
Organization
Contact information
Practice address
2638 TULIP LN, SUITE B, GREEN BAY, WI 54313-2800
(920) 660-7555
(920) 429-2845
Mailing address
2638 TULIP LN, SUITE B, GREEN BAY, WI 54313-2800
(920) 660-7555
(920) 429-2845
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
40-140
WI
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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