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1366998403
ELISHA A BARREN
MILWAUKEE, WI
NPI
1366998403
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 16713-130)
Enumeration Date
2016-08-29
Last Update Date
2019-12-19
Business Address
Mr. ELISHA A BARREN SAC-IT
2555 N MLK DR
MILWAUKEE, WI 53212-2709
Phone number: 414-372-8080
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Mailing Address
Mr. ELISHA A BARREN SAC-IT
2725 W HIGHLAND BLVD APT 212
MILWAUKEE, WI 53208-4331
Phone number: 414-839-0088
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