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1457576779
JOSEPH WALTER KNOTTS
SUPERIOR, WI
NPI
1457576779
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI 14604-130)
Enumeration Date
2007-04-13
Last Update Date
2007-07-08
Business Address
JOSEPH WALTER KNOTTS SACIT
1926 E 2ND ST APT. 8
SUPERIOR, WI 54880-3578
Phone number: 715-718-0013
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Mailing Address
JOSEPH WALTER KNOTTS SACIT
1926 E 2ND ST APT. 8
SUPERIOR, WI 54880-3578
Phone number: 715-718-0013
Copy
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