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1366552887
CRAIG ALAN MODELL
WEST ALLIS, WI
NPI
1366552887
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: WI 696057)
Enumeration Date
2006-08-30
Last Update Date
2007-07-08
Business Address
MR. CRAIG ALAN MODELL PHD PSYCHOLOGIST
10229 W GREENFIELD AVE
WEST ALLIS, WI 53214
Phone number: 414-453-6330
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Mailing Address
MR. CRAIG ALAN MODELL PHD PSYCHOLOGIST
10229 W GREENFIELD AVE
WEST ALLIS, WI 53214
Phone number: 414-453-6330
Copy
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