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1104187053
LISA MARIE GASTALDI
MILWAUKEE, WI
NPI
1104187053
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 16482-130)
Enumeration Date
2012-06-06
Last Update Date
2013-06-04
Business Address
-- LISA MARIE GASTALDI SAC-IT
3707 N RICHARDS ST
MILWAUKEE, WI 53212-1673
Phone number: 414-967-7006
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Mailing Address
-- LISA MARIE GASTALDI SAC-IT
3707 N RICHARDS ST
MILWAUKEE, WI 53212-1673
Phone number: 414-967-7006
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