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1033247606
ANTONIA SALLIS
MILWAUKEE, WI
NPI
1033247606
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 15375-130)
Enumeration Date
2007-03-02
Last Update Date
2007-07-08
Business Address
-- ANTONIA SALLIS MS,SAC,DPI Teacher
6040 W LISBON AVE
MILWAUKEE, WI 53210-2116
Phone number: 414-364-0406
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Mailing Address
-- ANTONIA SALLIS MS,SAC,DPI Teacher
PO BOX 16725 3762 NORTH 38TH STREET
MILWAUKEE, WI 53216-0725
Phone number: 414-364-0406
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