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1619796612
RYAN ANDERSON
MADISON, WI
NPI
1619796612
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 20619)
Enumeration Date
2024-10-07
Last Update Date
2024-10-07
Business Address
RYAN ANDERSON SAC-IT
3113 E WASHINGTON AVE
MADISON, WI 53704-4330
Phone number: 608-416-5777
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Mailing Address
RYAN ANDERSON SAC-IT
3113 E WASHINGTON AVE
MADISON, WI 53704-4330
Phone number: 608-416-5777
Copy
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