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1154430981
JAY CHRISTOPHER GIANCOLA
ASHLAND, WI
NPI
1154430981
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 11701)
Enumeration Date
2006-08-29
Last Update Date
2007-07-08
Business Address
-- JAY CHRISTOPHER GIANCOLA CADC III
1635 MAPLE LN
ASHLAND, WI 54806-3610
Phone number: 715-685-5400
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Mailing Address
-- JAY CHRISTOPHER GIANCOLA CADC III
1635 MAPLE LN
ASHLAND, WI 54806-3610
Phone number: 715-685-5400
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