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1316520182
JOSEPH MCKENZIE
WAUKESHA, WI
NPI
1316520182
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 19364)
Enumeration Date
2021-04-29
Last Update Date
2021-04-29
Business Address
JOSEPH MCKENZIE SAC-IT
255 W BROADWAY
WAUKESHA, WI 53186-4832
Phone number: 262-420-9088
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Mailing Address
JOSEPH MCKENZIE SAC-IT
255 W BROADWAY
WAUKESHA, WI 53186-4832
Phone number: 262-420-9088
Copy
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