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1336372259
EDWIN A CHRISMAN
GREEN BAY, WI
NPI
1336372259
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 15695-130)
Enumeration Date
2009-08-26
Last Update Date
2009-08-26
Business Address
-- EDWIN A CHRISMAN SAC-IT
331 S ADAMS ST
GREEN BAY, WI 54301-4515
Phone number: 920-445-0170
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Mailing Address
-- EDWIN A CHRISMAN SAC-IT
331 S ADAMS ST
GREEN BAY, WI 54301-4515
Phone number: 920-445-0170
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