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1508243387
TAJUAN CONWAY
WAUKESHA, WI
NPI
1508243387
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 17256-130)
Enumeration Date
2015-04-30
Last Update Date
2017-12-01
Business Address
TAJUAN CONWAY CSAC
2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188-6105
Phone number: 262-549-6600
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Mailing Address
TAJUAN CONWAY CSAC
4647 N 70TH ST
MILWAUKEE, WI 53218-4848
Phone number:
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