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1487051140
CARLA FRIEDA FUENTESBUENDIA
WAUKESHA, WI
NPI
1487051140
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 15928-131)
Enumeration Date
2014-11-24
Last Update Date
2014-12-01
Business Address
-- CARLA FRIEDA FUENTESBUENDIA A.A.S. SAC
2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188-6105
Phone number: 262-549-6600
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Mailing Address
-- CARLA FRIEDA FUENTESBUENDIA A.A.S. SAC
2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188-6105
Phone number: 262-549-6600
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