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Individual

DANIELLE DUFRESNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CSAC

Contact information

Practice address
3150 GERSHWIN DRIVE, GREEN BAY, WI 54311-4328
(920) 391-4700
(920) 391-4870
Mailing address
3150 GERSHWIN DRIVE, GREEN BAY, WI 54311-4328
(920) 391-4740
(920) 391-4870

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16567-130
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
WI

Other

Enumeration date
07/31/2014
Last updated
01/19/2016
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