RUSLANA ENNIS

MILWAUKEE, WI
NPI1013318450
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  17227-130)
Enumeration Date2014-09-04
Last Update Date2014-09-04
Business Address
-- RUSLANA ENNIS SAC-IT
1111 S 6TH ST
MILWAUKEE, WI 53204-2301
Phone number: 414-643-8530
Mailing Address
-- RUSLANA ENNIS SAC-IT
1111 SOUTH 6TH STREET
MILWAUKEE, WI 53204
Phone number: 414-643-8530
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