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1730185240
WILLIAM R SCOWCROFT
LA CROSSE, WI
NPI
1730185240
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 1264)
Enumeration Date
2005-06-21
Last Update Date
2007-07-08
Business Address
-- WILLIAM R SCOWCROFT CADC
1910 SOUTH AVE
LA CROSSE, WI 54601-5467
Phone number: 608-775-2287
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Mailing Address
-- WILLIAM R SCOWCROFT CADC
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300
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