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1225649684
KHALIO BORUM
MILWAUKEE, WI
NPI
1225649684
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WI 4681-226)
Enumeration Date
2020-08-11
Last Update Date
2022-11-21
Business Address
KHALIO BORUM MS, LPC-IT
4025 N 92ND ST
MILWAUKEE, WI 53222-1613
Phone number: 414-435-0333
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Mailing Address
KHALIO BORUM MS, LPC-IT
PO BOX 1115
MENOMONEE FALLS, WI 53052-1115
Phone number: 414-435-0333
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