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1750612255
CHRISTOPHER FANCHER
RACINE, WI
NPI
1750612255
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 15900130)
Enumeration Date
2010-01-22
Last Update Date
2010-01-22
Business Address
-- CHRISTOPHER FANCHER SAC-IT
6233 BANKERS RD SUITE 10
RACINE, WI 53403-9700
Phone number: 262-549-6600
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Mailing Address
-- CHRISTOPHER FANCHER SAC-IT
2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188-6105
Phone number: 262-549-6600
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