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1225747520
ERIC HALL
WAUKESHA, WI
NPI
1225747520
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 19797)
Enumeration Date
2022-11-16
Last Update Date
2022-11-16
Business Address
ERIC HALL SAC-IT
255 W BROADWAY
WAUKESHA, WI 53186-4832
Phone number: 262-420-9088
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Mailing Address
ERIC HALL SAC-IT
255 W BROADWAY
WAUKESHA, WI 53186-4832
Phone number: 262-420-9088
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