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1356173785
DARRELL DELMAR EDWARDS
MILWAUKEE, WI
NPI
1356173785
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 20640-130)
Enumeration Date
2024-08-15
Last Update Date
2024-08-15
Business Address
Mr. DARRELL DELMAR EDWARDS SAC-IT
3707 N RICHARDS ST
MILWAUKEE, WI 53212-1673
Phone number: 414-967-7006
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Mailing Address
Mr. DARRELL DELMAR EDWARDS SAC-IT
3789 N 75TH ST
MILWAUKEE, WI 53216-1969
Phone number: 262-422-9225
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