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1316482334
DOMINIQUE HORTON
MILWAUKEE, WI
NPI
1316482334
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 16102-132)
Enumeration Date
2016-12-29
Last Update Date
2016-12-29
Business Address
-- DOMINIQUE HORTON CSAC
2319 W CAPITOL DR
MILWAUKEE, WI 53206-1919
Phone number: 414-442-2033
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Mailing Address
-- DOMINIQUE HORTON CSAC
2319 W CAPITOL DR
MILWAUKEE, WI 53206-1919
Phone number: 414-442-2033
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