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1184780512
RICHARD BREWER
LA CROSSE, WI
NPI
1184780512
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: WI 3033-123)
Enumeration Date
2006-12-29
Last Update Date
2007-07-08
Business Address
RICHARD BREWER
300 4TH ST N
LA CROSSE, WI 54601-3228
Phone number: 608-785-6101
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Mailing Address
RICHARD BREWER
300 4TH ST N
LA CROSSE, WI 54601-3228
Phone number: 608-785-6101
Copy
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