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1720263577
JORDAN CHARBONEAU
MILWAUKEE, WI
NPI
1720263577
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2007-12-28
Last Update Date
2010-01-06
Business Address
-- JORDAN CHARBONEAU
561 N 15TH ST MARQUETTE UNIVERSITY 7CS COMMUNITY COUNSELING CLINICS
MILWAUKEE, WI 53233-2237
Phone number: 414-288-5889
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Mailing Address
-- JORDAN CHARBONEAU
561 N 15TH ST RM 150
MILWAUKEE, WI 53233-2237
Phone number: 414-288-4556
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