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1124312194
JEFF J COLLINS
MADISON, WI
NPI
1124312194
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI 15561132)
Enumeration Date
2011-06-07
Last Update Date
2011-06-07
Business Address
JEFF J COLLINS CSAC
902 ANN ST
MADISON, WI 53713-2498
Phone number: 262-549-6600
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Mailing Address
JEFF J COLLINS CSAC
2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188-6105
Phone number: 262-549-6600
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