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1619414513
LUKE WILD
MILWAUKEE, WI
NPI
1619414513
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
Additional Taxonomies
101Y00000X Counselor
(Licence: WI 2530-226)
Enumeration Date
2017-01-30
Last Update Date
2021-07-22
Business Address
LUKE WILD LPC-IT
930 W HISTORIC MITCHELL ST
MILWAUKEE, WI 53204-3533
Phone number: 414-383-9526
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Mailing Address
LUKE WILD LPC-IT
930 W HISTORIC MITCHELL ST
MILWAUKEE, WI 53204-3533
Phone number: 414-383-9526
Copy
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