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1174994164
KEVIN WAHL
OAK CREEK, WI
NPI
1174994164
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WI 2405226)
Enumeration Date
2015-10-15
Last Update Date
2015-10-15
Business Address
-- KEVIN WAHL
1021 E FITZSIMMONS RD
OAK CREEK, WI 53154-5205
Phone number: 414-975-2843
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Mailing Address
-- KEVIN WAHL
1021 E FITZSIMMONS RD
OAK CREEK, WI 53154-5205
Phone number:
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