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1568406486
CHARLIE SCHRAUTH
HALES CORNERS, WI
NPI
1568406486
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 1531)
Enumeration Date
2006-06-15
Last Update Date
2008-03-27
Business Address
-- CHARLIE SCHRAUTH CADCIII
9415 W FOREST HOME AVE SUITE #108
HALES CORNERS, WI 53130-1680
Phone number: 414-427-4884
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Mailing Address
-- CHARLIE SCHRAUTH CADCIII
4555 WEST SCHROEDER DRIVE SUITE 170
MILWAUKEE, WI 53223
Phone number: 414-365-3210
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