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1639305865
GARY JAMES COENEN
MADISON, WI
NPI
1639305865
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 14254-132)
Enumeration Date
2009-06-02
Last Update Date
2009-06-02
Business Address
Mr. GARY JAMES COENEN
313 PRICE PL SUITE 209
MADISON, WI 53705-3299
Phone number: 608-213-3158
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Mailing Address
Mr. GARY JAMES COENEN
313 PRICE PL SUITE 209
MADISON, WI 53705-3299
Phone number: 608-213-3158
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