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1093465452
QWASHALA A HARRIS
MILWAUKEE, WI
NPI
1093465452
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 19657-130)
Enumeration Date
2022-03-28
Last Update Date
2022-03-28
Business Address
QWASHALA A HARRIS SAC-IT
1610 MILLER PARK WAY
MILWAUKEE, WI 53214-3604
Phone number: 414-672-3801
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Mailing Address
QWASHALA A HARRIS SAC-IT
1610 MILLER PARK WAY
MILWAUKEE, WI 53214-3604
Phone number: 414-672-3801
Copy
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