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1497779102
GERALD ALLAN THEIS
MILWAUKEE, WI
NPI
1497779102
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WI 362-123)
Enumeration Date
2006-07-26
Last Update Date
2007-07-08
Business Address
-- GERALD ALLAN THEIS M.S.W.
6040 W LISBON AVE
MILWAUKEE, WI 53210-2116
Phone number: 414-871-9111
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Mailing Address
-- GERALD ALLAN THEIS M.S.W.
6040 W LISBON AVE
MILWAUKEE, WI 53210-2116
Phone number: 414-871-9111
Copy
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