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1003550229
LASHAWNA THOMAS
WEST ALLIS, WI
NPI
1003550229
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 19554-130)
Enumeration Date
2022-04-25
Last Update Date
2022-04-25
Business Address
LASHAWNA THOMAS
2814 S 108TH ST
WEST ALLIS, WI 53227-3224
Phone number: 414-885-3525
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Mailing Address
LASHAWNA THOMAS
2814 S 108TH ST
WEST ALLIS, WI 53227-3224
Phone number: 414-885-3525
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