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1215169362
KENNETH WOODLEY
MILWAUKEE, WI
NPI
1215169362
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 15807)
Enumeration Date
2009-08-21
Last Update Date
2009-08-21
Business Address
-- KENNETH WOODLEY SAC-IT
6001 W CENTER ST STE 201
MILWAUKEE, WI 53210-2154
Phone number: 414-324-5318
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Mailing Address
-- KENNETH WOODLEY SAC-IT
6001 W CENTER ST STE 201
MILWAUKEE, WI 53210-2154
Phone number: 414-324-5318
Copy
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