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1508396912
VICTOR BRANDT
SHEBOYGAN, WI
NPI
1508396912
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 17763-130)
Enumeration Date
2017-06-18
Last Update Date
2017-06-18
Business Address
VICTOR BRANDT SAC-IT
2842 S BUSINESS DR
SHEBOYGAN, WI 53081-6518
Phone number: 920-458-6527
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Mailing Address
VICTOR BRANDT SAC-IT
1227A BLUFF AVE
SHEBOYGAN, WI 53081-2577
Phone number: 920-287-6556
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