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1225451461
RAYMOND HARRISON
JANESVILLE, WI
NPI
1225451461
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 16474-130)
Enumeration Date
2014-01-23
Last Update Date
2014-01-23
Business Address
-- RAYMOND HARRISON
203 W SUNNY LN
JANESVILLE, WI 53546-9091
Phone number: 608-741-4515
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Mailing Address
-- RAYMOND HARRISON
203 W SUNNY LN
JANESVILLE, WI 53546-9091
Phone number: 608-741-4515
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