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1447726575
RICHELLE MASTALIR
WAUKESHA, WI
NPI
1447726575
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 18296)
Enumeration Date
2018-10-16
Last Update Date
2018-10-16
Business Address
RICHELLE MASTALIR
403 N GRAND AVE
WAUKESHA, WI 53186-4913
Phone number: 262-443-0298
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Mailing Address
RICHELLE MASTALIR
2435 S 69TH ST # AT
WEST ALLIS, WI 53219-1913
Phone number: 262-719-9697
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