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1114131869
CAROL MARIE BAXTER
MILWAUKEE, WI
NPI
1114131869
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 15252132)
Enumeration Date
2007-05-10
Last Update Date
2015-09-11
Business Address
Mrs. CAROL MARIE BAXTER CSAC
4800 S 10TH ST
MILWAUKEE, WI 53221-2412
Phone number: 414-744-5370
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Mailing Address
Mrs. CAROL MARIE BAXTER CSAC
4800 S 10TH ST
MILWAUKEE, WI 53221-2412
Phone number: 414-744-5370
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