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1013575125
JEFFREY A TERRELL
MILWAUKEE, WI
NPI
1013575125
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 17827)
Enumeration Date
2019-06-04
Last Update Date
2019-06-04
Business Address
JEFFREY A TERRELL
2319 W CAPITOL DR
MILWAUKEE, WI 53206-1919
Phone number: 414-442-2033
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Mailing Address
JEFFREY A TERRELL
2319 W CAPITOL DR
MILWAUKEE, WI 53206-1919
Phone number: 414-442-2033
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