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1588719637
LAURENCE GANSCHOW
BROWN DEER, WI
NPI
1588719637
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI 1736-132)
Enumeration Date
2007-01-25
Last Update Date
2008-07-10
Business Address
LAURENCE GANSCHOW CADC III
8200 W BROWN DEER RD SUITE 300A
BROWN DEER, WI 53223-1706
Phone number: 414-362-8147
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Mailing Address
LAURENCE GANSCHOW CADC III
285 N JANACEK RD
BROOKFIELD, WI 53045-6102
Phone number: 262-641-9050
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