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1598543431
ERIC ALLEN
APPLETON, WI
NPI
1598543431
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI 20400-130)
Enumeration Date
2023-09-21
Last Update Date
2023-09-21
Business Address
ERIC ALLEN SAC-IT
3301 N BALLARD RD
APPLETON, WI 54911-8928
Phone number: 920-733-4443
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Mailing Address
ERIC ALLEN SAC-IT
3301 N BALLARD RD
APPLETON, WI 54911-8928
Phone number: 920-733-4443
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