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1114948460
BRIAN FOBIAN
MENOMONEE FALLS, WI
NPI
1114948460
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI 10747)
Enumeration Date
2006-07-22
Last Update Date
2007-11-30
Business Address
BRIAN FOBIAN CADC III
N84W15787 MENOMONEE AVE SUITE 6
MENOMONEE FALLS, WI 53051-3081
Phone number: 262-255-5571
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Mailing Address
BRIAN FOBIAN CADC III
285 N JANACEK RD
BROOKFIELD, WI 53045-6102
Phone number: 262-641-9050
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