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1023178480
STEPHEN GARY LEVINE
BROOKFIELD, WI
NPI
1023178480
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: WI 1073057)
Enumeration Date
2006-12-08
Last Update Date
2007-07-08
Business Address
Dr. STEPHEN GARY LEVINE PhD
17100 W BLUEMOUND RD SUITE 204
BROOKFIELD, WI 53005-5950
Phone number: 262-391-5780
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Mailing Address
Dr. STEPHEN GARY LEVINE PhD
901 EVERGREEN CIRCLE
HARTLAND, WI 53029
Phone number: 262-367-8298
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