MARK ROSS

MILWAUKEE, WI
NPI1205200490
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-11-25
Last Update Date2015-11-25
Business Address
Mr. MARK ROSS SAC-IT
5408 N 40TH ST
MILWAUKEE, WI 53209-4618
Phone number: 414-881-2342
Mailing Address
Mr. MARK ROSS SAC-IT
5408 N 40TH ST
MILWAUKEE, WI 53209-4618
Phone number: 414-881-2342
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