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Individual

JUSTINE CLEVELAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
242031 COUNTY ROAD Y, ANIWA, WI 54408-5047
(715) 297-8745
Mailing address
242031 COUNTY ROAD Y, ANIWA, WI 54408-5047

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9124123
WI

Other

Enumeration date
02/06/2019
Last updated
04/08/2020
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