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1295361566
TYLER WEBB
GREEN BAY, WI
NPI
1295361566
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 19118-130)
Enumeration Date
2020-03-19
Last Update Date
2020-03-19
Business Address
TYLER WEBB SACIT
2357 W MASON ST
GREEN BAY, WI 54303-4708
Phone number: 920-337-6740
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Mailing Address
TYLER WEBB SACIT
2357 W MASON ST
GREEN BAY, WI 54303-4708
Phone number: 920-337-6740
Copy
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