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1518401199
RITA S MWANGONG
MILWAUKEE, WI
NPI
1518401199
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 17945130)
Enumeration Date
2016-12-15
Last Update Date
2016-12-15
Business Address
-- RITA S MWANGONG sacit
4800 S 10TH ST
MILWAUKEE, WI 53221-2412
Phone number: 414-744-5370
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Mailing Address
-- RITA S MWANGONG sacit
4800 S 10TH ST
MILWAUKEE, WI 53221-2412
Phone number: 414-744-5370
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