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1083907430
DAVID JEFFREY O'DONNEL
MADISON, WI
NPI
1083907430
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 15140-132)
Enumeration Date
2011-05-18
Last Update Date
2011-05-18
Business Address
-- DAVID JEFFREY O'DONNEL
600 HIGHLAND AVE MC 2433
MADISON, WI 53792-1530
Phone number: 608-662-0817
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Mailing Address
-- DAVID JEFFREY O'DONNEL
600 HIGHLAND AVE MC 2433
MADISON, WI 53792-1530
Phone number: 608-662-0817
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