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1639664923
KRYSTALYN GOODE
MILWAUKEE, WI
NPI
1639664923
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: 18439-130)
Enumeration Date
2018-06-28
Last Update Date
2018-06-28
Business Address
MS. KRYSTALYN GOODE SAC-IT
2625 N WEIL STREET
MILWAUKEE, WI 53212
Phone number: 414-962-1200
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Mailing Address
MS. KRYSTALYN GOODE SAC-IT
2625 N WEIL STREET
MILWAUKEE, WI 53212-3060
Phone number: 414-962-1200
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