Individual
NANETTE MARIE PAMONICUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
N2150 KESAEHKAHTEK RD, GRESHAM, WI 54128-9602
(715) 799-3835
Mailing address
N2150 KESAEHKAHTEK RD, GRESHAM, WI 54128-9602
(715) 799-3835
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20597-130
WI
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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