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1124031661
SANDY L SWORDS
OCONOMOWOC, WI
NPI
1124031661
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 1407)
Enumeration Date
2006-08-15
Last Update Date
2007-07-08
Business Address
Mrs. SANDY L SWORDS CADCIII
888 THACKERAY TRL
OCONOMOWOC, WI 53066-4342
Phone number: 262-542-3255
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Mailing Address
Mrs. SANDY L SWORDS CADCIII
888 THACKERAY TRL
OCONOMOWOC, WI 53066-4342
Phone number: 262-542-3255
Copy
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