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1477786010
JUSTIN TYLER SOKOL
MILWAUKEE, WI
NPI
1477786010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-08-31
Last Update Date
2009-08-31
Business Address
Mr. JUSTIN TYLER SOKOL B.S.
561 N 15TH ST # 171A SCHROEDER COMPLEX
MILWAUKEE, WI 53233-2237
Phone number: 414-288-4556
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Mailing Address
Mr. JUSTIN TYLER SOKOL B.S.
561 N 15TH ST # 171A SCHROEDER COMPLEX
MILWAUKEE, WI 53233-2237
Phone number: 414-288-4556
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