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1184093569
KACIE MICHELLE WOLFGRAM
MILWAUKEE, WI
NPI
1184093569
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 16379-130)
Enumeration Date
2015-09-16
Last Update Date
2015-09-16
Business Address
Ms. KACIE MICHELLE WOLFGRAM B.S., SAC-IT
1610 MILLER PARK WAY
MILWAUKEE, WI 53214-3604
Phone number: 414-672-3801
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Mailing Address
Ms. KACIE MICHELLE WOLFGRAM B.S., SAC-IT
1610 MILLER PARK WAY
MILWAUKEE, WI 53214-3604
Phone number: 414-672-3801
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