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1659522555
ART C LEO
RACINE, WI
NPI
1659522555
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-10-09
Last Update Date
2008-10-09
Business Address
-- ART C LEO BSW, CSAC
1654 WASHINGTON AVE SUITE 1
RACINE, WI 53403-2047
Phone number: 262-633-5001
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Mailing Address
-- ART C LEO BSW, CSAC
1654 WASHINGTON AVE SUITE 1
RACINE, WI 53403-2047
Phone number: 262-633-5001
Copy
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