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1528734357
CHARLES LAMONT LINYARD
WEST ALLIS, WI
NPI
1528734357
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 18744-130)
Enumeration Date
2021-08-20
Last Update Date
2021-08-20
Business Address
CHARLES LAMONT LINYARD SAC-IT
2814 S 108TH ST
WEST ALLIS, WI 53227-3224
Phone number: 414-885-3525
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Mailing Address
CHARLES LAMONT LINYARD SAC-IT
2814 S 108TH ST
WEST ALLIS, WI 53227-3224
Phone number: 414-885-3525
Copy
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