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1144785395
MICHAEL L WRZESINSKI
KENOSHA, WI
NPI
1144785395
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 18188130)
Enumeration Date
2019-02-01
Last Update Date
2019-02-01
Business Address
MICHAEL L WRZESINSKI
4109 67TH STREET
KENOSHA, WI 53142
Phone number: 262-652-9830
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Mailing Address
MICHAEL L WRZESINSKI
4109 67TH STREET
KENOSHA, WI 53142-3836
Phone number:
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