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1215967013
MIKE L MINKIN
MILWAUKEE, WI
NPI
1215967013
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WI 2605 - 123)
Enumeration Date
2006-07-04
Last Update Date
2007-07-08
Business Address
Mr. MIKE L MINKIN msw
5000 W NATIONAL AVE
MILWAUKEE, WI 53295-0001
Phone number: 414-384-2000
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Mailing Address
Mr. MIKE L MINKIN msw
165 HEIDEL RD
THIENSVILLE, WI 53092-1250
Phone number: 414-384-2000
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