LUISA IVELLISSE PADRON

MILWAUKEE, WI
NPI1679618342
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  13971)
Enumeration Date2007-02-21
Last Update Date2007-07-08
Business Address
-- LUISA IVELLISSE PADRON RADC I
1545 S LAYTON BLVD
MILWAUKEE, WI 53215-1924
Phone number: 414-671-5920
Mailing Address
-- LUISA IVELLISSE PADRON RADC I
3441 S 14TH ST
MILWAUKEE, WI 53215-5015
Phone number: 414-383-3398
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