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1184719551
AUGUSTUS ALEXANDER
MILWAUKEE, WI
NPI
1184719551
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI 10841)
Enumeration Date
2006-10-03
Last Update Date
2007-07-08
Business Address
MR. AUGUSTUS ALEXANDER A.T.
5000 WEST NATIONAL AVE
MILWAUKEE, WI 53295
Phone number: 414-384-2000
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Mailing Address
MR. AUGUSTUS ALEXANDER A.T.
2017 SOUTH WESTGRAND LANE
MILWAUKEE, WI 53219
Phone number: 414-645-4765
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