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1467169045
MICHAEL LEVANDOSKI
WAUKESHA, WI
NPI
1467169045
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 18276-130)
Enumeration Date
2022-11-02
Last Update Date
2022-11-02
Business Address
MICHAEL LEVANDOSKI SAC-IT
325 SENTINEL DR
WAUKESHA, WI 53189-7551
Phone number: 262-549-9449
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Mailing Address
MICHAEL LEVANDOSKI SAC-IT
W1211 LAKEVIEW LN LOT 23
SULLIVAN, WI 53178-9795
Phone number: 920-342-0542
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