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1134862121
SOPHIA A SALAS
MADISON, WI
NPI
1134862121
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 19674-130)
Enumeration Date
2022-04-18
Last Update Date
2022-04-18
Business Address
SOPHIA A SALAS SAC-IT
151 E BADGER RD STE A
MADISON, WI 53713-2726
Phone number: 608-250-2512
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Mailing Address
SOPHIA A SALAS SAC-IT
151 E BADGER RD STE A
MADISON, WI 53713-2726
Phone number: 608-250-2512
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