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1104111236
THERESA ANTHONY
MILWAUKEE, WI
NPI
1104111236
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 15010133)
Enumeration Date
2011-06-16
Last Update Date
2011-06-16
Business Address
Miss THERESA ANTHONY SAC-IT, CS-IT
6815 W CAPITOL DR STE 301
MILWAUKEE, WI 53216-2056
Phone number: 414-215-8477
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Mailing Address
Miss THERESA ANTHONY SAC-IT, CS-IT
6815 W CAPITOL DR STE 301
MILWAUKEE, WI 53216-2056
Phone number: 414-215-8477
Copy
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