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1295234805
BREANNE MARIE VANLOO
MADISON, WI
NPI
1295234805
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI 18375-130)
Enumeration Date
2018-02-09
Last Update Date
2018-02-09
Business Address
BREANNE MARIE VANLOO SAC-IT
151 E BADGER RD
MADISON, WI 53713-2708
Phone number: 608-250-2512
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Mailing Address
BREANNE MARIE VANLOO SAC-IT
310 W MACKIE ST
BEAVER DAM, WI 53916-1638
Phone number: 608-250-2512
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