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1669654125
ISMAEL ACEVEDO
BROWN DEER, WI
NPI
1669654125
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI 1687-132)
Enumeration Date
2007-11-27
Last Update Date
2007-11-27
Business Address
MR. ISMAEL ACEVEDO CSAC
4555 W SCHROEDER DR 185
BROWN DEER, WI 53223-1475
Phone number: 414-586-0222
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Mailing Address
MR. ISMAEL ACEVEDO CSAC
4555 W SCHROEDER DR 185
BROWN DEER, WI 53223-1475
Phone number: 414-586-0222
Copy
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