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1609076322
EILEEN G WARREN
KENOSHA, WI
NPI
1609076322
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI 11581 - 134 AND2103)
Enumeration Date
2007-07-20
Last Update Date
2013-08-01
Business Address
MS. EILEEN G WARREN MS, CSAC - ICS
6501 3RD AVE
KENOSHA, WI 53143-5111
Phone number: 262-456-4780
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Mailing Address
MS. EILEEN G WARREN MS, CSAC - ICS
6501 3RD AVE
KENOSHA, WI 53143-5111
Phone number: 262-456-4780
Copy
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