ANTONIO T BOSTON

MILWAUKEE, WI
NPI1720358807
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  16231-130)
Enumeration Date2012-01-06
Last Update Date2012-01-06
Business Address
-- ANTONIO T BOSTON SAC-IT
2821 N 4TH ST STE 139
MILWAUKEE, WI 53212-2362
Phone number: 414-264-4217
Mailing Address
-- ANTONIO T BOSTON SAC-IT
2821 N 4TH ST STE 139
MILWAUKEE, WI 53212-2362
Phone number: 414-264-4217
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