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1174136832
RICHARD L BRYANT
MADISON, WI
NPI
1174136832
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI 16126)
Enumeration Date
2020-08-24
Last Update Date
2020-08-24
Business Address
RICHARD L BRYANT SAC
2101 N SHERMAN AVE
MADISON, WI 53704-3932
Phone number: 608-241-4285
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Mailing Address
RICHARD L BRYANT SAC
2101 N SHERMAN AVE
MADISON, WI 53704-3932
Phone number: 608-241-4285
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