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1104521665
JOHN SWENSON
WAUKESHA, WI
NPI
1104521665
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 20217-130)
Enumeration Date
2023-04-04
Last Update Date
2023-04-04
Business Address
JOHN SWENSON SAC-IT
2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188-6105
Phone number: 262-549-6600
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Mailing Address
JOHN SWENSON SAC-IT
1517 N 58TH ST
MILWAUKEE, WI 53208-2137
Phone number:
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