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1487439931
ERIC THORN
WAUKESHA, WI
NPI
1487439931
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 20130-130)
Enumeration Date
2023-08-31
Last Update Date
2023-08-31
Business Address
ERIC THORN
2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188-6105
Phone number: 262-888-8051
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Mailing Address
ERIC THORN
6155 S 42ND ST
GREENFIELD, WI 53221-4525
Phone number:
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