LEPAGE HUMPHEEY

MILWAUKEE, WI
NPI1225523277
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  14122-130)
Enumeration Date2018-06-22
Last Update Date2018-06-22
Business Address
LEPAGE HUMPHEEY csac-it
1134 W NORTH AVE FL 2
MILWAUKEE, WI 53205-1333
Phone number: 414-467-8884
Mailing Address
LEPAGE HUMPHEEY csac-it
1134 W NORTH AVE FL 2
MILWAUKEE, WI 53205-1333
Phone number: 414-467-8884
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