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1194275503
KEVIN SCHAEFER
BROOKFIELD, WI
NPI
1194275503
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 16763-130)
Enumeration Date
2016-10-10
Last Update Date
2016-10-10
Business Address
-- KEVIN SCHAEFER
19115 W CAPITOL DR STE 117
BROOKFIELD, WI 53045-2754
Phone number: 262-781-0240
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Mailing Address
-- KEVIN SCHAEFER
19115 W CAPITOL DR STE 117
BROOKFIELD, WI 53045-2754
Phone number: 262-781-0240
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