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1396887857
BRETT MICHAEL MASBRUCH
MADISON, WI
NPI
1396887857
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 14161)
Enumeration Date
2007-02-13
Last Update Date
2007-07-08
Business Address
-- BRETT MICHAEL MASBRUCH CSAC
3113 E WASHINGTON AVE
MADISON, WI 53704-4330
Phone number: 608-242-0220
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Mailing Address
-- BRETT MICHAEL MASBRUCH CSAC
3113 E WASHINGTON AVE
MADISON, WI 53704-4330
Phone number: 608-242-0220
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