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1275055055
CARLA R KNOX
MILWAUKEE, WI
NPI
1275055055
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 18242130)
Enumeration Date
2017-07-12
Last Update Date
2017-07-12
Business Address
CARLA R KNOX SAC-IT
5325 W BURLEIGH ST
MILWAUKEE, WI 53210-1623
Phone number: 414-488-9512
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Mailing Address
CARLA R KNOX SAC-IT
6174A W SPENCER PL
MILWAUKEE, WI 53218-4943
Phone number: 414-779-1147
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