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1053150052
ERICA E IVINS
MILWAUKEE, WI
NPI
1053150052
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: WI 7471-226)
Enumeration Date
2024-05-21
Last Update Date
2024-05-21
Business Address
ERICA E IVINS
8901 W CAPITOL DR
MILWAUKEE, WI 53222-1706
Phone number: 414-465-5770
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Mailing Address
ERICA E IVINS
7421 W FERNWOOD CIR APT 1
MILWAUKEE, WI 53219-3957
Phone number: 262-203-1380
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