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1013175868
MERRITT ADAMS
RACINE, WI
NPI
1013175868
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI 11643 1585)
Enumeration Date
2008-05-29
Last Update Date
2008-05-29
Business Address
MERRITT ADAMS CADCIII
1717 TAYLOR AVE
RACINE, WI 53403-2405
Phone number: 262-632-1780
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Mailing Address
MERRITT ADAMS CADCIII
524 MAIN STREET SUITE 302
RACINE, WI 53403-1032
Phone number: 262-632-1780
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