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Individual

ASHLEY MARIE DAMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
630 CHERRY ST, GREEN BAY, WI 54301-4931
(920) 435-2093
Mailing address
630 CHERRY ST, GREEN BAY, WI 54301-4931
(920) 435-2093

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16550-130
WI

Other

Enumeration date
10/15/2012
Last updated
10/15/2012
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