OPAL DODD

WEST ALLIS, WI
NPI1538346671
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI  14824-130)
Enumeration Date2008-01-30
Last Update Date2008-01-30
Business Address
OPAL DODD
2187 S 85TH ST
WEST ALLIS, WI 53227-1747
Phone number: 414-321-2648
Mailing Address
OPAL DODD
2187 S 85TH ST
WEST ALLIS, WI 53227-1747
Phone number: 414-321-2648
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