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1235316381
BRADLEY RAY HAWBECKER
BELOIT, WI
NPI
1235316381
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 15654-131)
Enumeration Date
2008-01-30
Last Update Date
2011-08-18
Business Address
-- BRADLEY RAY HAWBECKER SAC 15654-131
2240 PRAIRE AVE 10
BELOIT, WI 53511-2940
Phone number: 608-361-7200
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Mailing Address
-- BRADLEY RAY HAWBECKER SAC 15654-131
2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188-6105
Phone number:
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