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1689187494
TRENTON ESTANO
GREEN BAY, WI
NPI
1689187494
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI 18333-130)
Enumeration Date
2017-11-15
Last Update Date
2017-11-15
Business Address
TRENTON ESTANO SAC-IT
424 S MONROE AVE STE 201
GREEN BAY, WI 54301-4054
Phone number: 920-445-0170
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Mailing Address
TRENTON ESTANO SAC-IT
424 S MONROE AVE STE 201
GREEN BAY, WI 54301-4054
Phone number: 920-445-0170
Copy
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