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1144460940
ACACIA MENTAL HEALTH CLINIC LLC
MILWAUKEE, WI
NPI
1144460940
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Entity Type
Organization
Authorized Contact
ABE FREUND
Owner
414-871-9111
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: WI 1006)
Enumeration Date
2009-03-06
Last Update Date
2009-03-06
Business Address
ACACIA MENTAL HEALTH CLINIC LLC
6040 W LISBON AVE # 204
MILWAUKEE, WI 53210-2116
Phone number: 414-871-9111
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Mailing Address
ACACIA MENTAL HEALTH CLINIC LLC
6040 W. LISBON AVE. # 204
MILWAUKEE, WI 53210
Phone number: 414-871-9111
Copy
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