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1467714261
PATRICIA LOUISE GRAY
MILWAUKEE, WI
NPI
1467714261
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 15653-130)
Enumeration Date
2012-06-08
Last Update Date
2012-06-08
Business Address
Miss PATRICIA LOUISE GRAY 15653-130
2677 N 40TH ST
MILWAUKEE, WI 53210-2505
Phone number: 414-447-1965
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Mailing Address
Miss PATRICIA LOUISE GRAY 15653-130
2677 N 40TH ST
MILWAUKEE, WI 53210-2505
Phone number: 414-447-1965
Copy
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