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1730157603
MICHAEL J WAUPOOSE
MADISON, WI
NPI
1730157603
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 7061)
Enumeration Date
2006-03-08
Last Update Date
2019-04-04
Business Address
MICHAEL J WAUPOOSE LCSW
3414 SUNBROOK RD
MADISON, WI 53704-2729
Phone number: 608-235-4292
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Mailing Address
MICHAEL J WAUPOOSE LCSW
3414 SUNBROOK RD
MADISON, WI 53704-2729
Phone number: 608-235-4292
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