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1215793013
SAMUEL XAVIER COULSON
MILWAUKEE, WI
NPI
1215793013
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: WI 134728-121)
Enumeration Date
2024-02-28
Last Update Date
2024-02-28
Business Address
SAMUEL XAVIER COULSON
6001 W CENTER ST
MILWAUKEE, WI 53210-2154
Phone number: 414-393-1099
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Mailing Address
SAMUEL XAVIER COULSON
3166 N PIERCE ST
MILWAUKEE, WI 53212-2129
Phone number: 262-899-0203
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