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Individual

ANGELA GARDEBRECHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
300 CROOKS ST, GREEN BAY, WI 54301-4527
(920) 436-4360
(920) 432-5966
Mailing address
300 CROOKS ST, GREEN BAY, WI 54301-4527
(920) 436-4360
(920) 432-5966

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16546
WI

Other

Enumeration date
10/07/2015
Last updated
02/22/2019
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