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1235329541
DAVID MATOS SANCHEZ
MILWAUKEE, WI
NPI
1235329541
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 10850-132)
Enumeration Date
2007-08-01
Last Update Date
2007-08-01
Business Address
Mr. DAVID MATOS SANCHEZ csac
5150 N 32ND ST
MILWAUKEE, WI 53209-5400
Phone number: 414-462-4697
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Mailing Address
Mr. DAVID MATOS SANCHEZ csac
834 W PROSPECT AVE
APPLETON, WI 54914-5415
Phone number: 920-993-9010
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