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1649976440
ALISSA OWEN
WAUKESHA, WI
NPI
1649976440
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 19686)
Enumeration Date
2023-02-02
Last Update Date
2023-02-02
Business Address
ALISSA OWEN SAC-IT
255 W BROADWAY
WAUKESHA, WI 53186-4832
Phone number: 262-420-9088
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Mailing Address
ALISSA OWEN SAC-IT
255 W BROADWAY
WAUKESHA, WI 53186-4832
Phone number: 262-420-9088
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