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1093082000
GLENN ALAN PETERS
MILWAUKEE, WI
NPI
1093082000
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: WI 621-226)
Enumeration Date
2011-11-18
Last Update Date
2011-11-18
Business Address
Mr. GLENN ALAN PETERS MS,NCC,LPC-IT,SAC-IT
6040 W LISBON AVE STE 102
MILWAUKEE, WI 53210-2116
Phone number: 414-871-9111
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Mailing Address
Mr. GLENN ALAN PETERS MS,NCC,LPC-IT,SAC-IT
6040 W LISBON AVE STE 102
MILWAUKEE, WI 53210-2116
Phone number: 414-871-9111
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