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1326582149
JEAN MORAL
MILWAUKEE, WI
NPI
1326582149
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 568004)
Enumeration Date
2016-12-13
Last Update Date
2016-12-13
Business Address
-- JEAN MORAL
10012 W CAPITOL DR STE 101
MILWAUKEE, WI 53222-1300
Phone number: 414-810-4844
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Mailing Address
-- JEAN MORAL
10012 W CAPITOL DR STE 101
MILWAUKEE, WI 53222-1300
Phone number: 414-810-4844
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