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1003116393
LANCE P ARMSTRONG
MADISON, WI
NPI
1003116393
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 15521)
Enumeration Date
2010-11-02
Last Update Date
2010-12-07
Business Address
-- LANCE P ARMSTRONG CSAC
25 KESSEL CT STE 200
MADISON, WI 53711-6227
Phone number: 608-278-8200
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Mailing Address
-- LANCE P ARMSTRONG CSAC
7974 UW HEALTH COURT
MIDDLETON, WI 53562-5531
Phone number: 608-829-5485
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