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1336685650
FREDASHARRON SMITH
MILWAUKEE, WI
NPI
1336685650
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 17570-130)
Enumeration Date
2017-01-10
Last Update Date
2017-01-11
Business Address
Mrs. FREDASHARRON SMITH
3853 N 55TH ST
MILWAUKEE, WI 53216-2209
Phone number: 414-366-9220
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Mailing Address
Mrs. FREDASHARRON SMITH
3853 N 55TH ST
MILWAUKEE, WI 53216-2209
Phone number: 414-366-9220
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