CHARLES ANTHONY DORAM

MONONA, WI
NPI1346494895
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI  312574)
Enumeration Date2008-11-11
Last Update Date2008-11-12
Business Address
CHARLES ANTHONY DORAM CSAC
2829 ROYAL AVE
MONONA, WI 53713-1535
Phone number: 608-661-2829
Mailing Address
CHARLES ANTHONY DORAM CSAC
2829 ROYAL AVE STE 200
MONONA, WI 53713-1535
Phone number: 608-661-2829
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