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1225561269
REBECCA ROSS
GLENDALE, WI
NPI
1225561269
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 18130130)
Enumeration Date
2017-04-06
Last Update Date
2017-04-06
Business Address
-- REBECCA ROSS
5235 N IRONWOOD RD
GLENDALE, WI 53217-4906
Phone number: 414-902-1500
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Mailing Address
-- REBECCA ROSS
PO 04188
MILWAUKEE, WI 53204
Phone number:
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