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1104209923
ABA OF WISCONSIN, LLC
WOODRIDGE, IL
NPI
1104209923
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Entity Type
Organization
Authorized Contact
ERIN RABER
Program Manager
715-600-2211
Organization Subpart ?
Yes
Primary Taxonomy
251S00000X Community/Behavioral Health
Enumeration Date
2015-06-30
Last Update Date
2016-01-26
Business Address
ABA OF WISCONSIN, LLC
1501 DOGWOOD DR
WOODRIDGE, IL 60517-4649
Phone number: 715-600-2211
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Mailing Address
ABA OF WISCONSIN, LLC
1501 DOGWOOD DR
WOODRIDGE, IL 60517-4649
Phone number: 715-600-2211
Copy
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