SAMMY JOE RANGEL

RACINE, WI
NPI1013166891
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  14088-132)
Enumeration Date2008-09-16
Last Update Date2008-09-16
Business Address
-- SAMMY JOE RANGEL CSAC
840 LAKE AVE 101
RACINE, WI 53403-1566
Phone number: 262-634-8688
Mailing Address
-- SAMMY JOE RANGEL CSAC
840 LAKE AVE 101
RACINE, WI 53403-1566
Phone number: 262-634-8688
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