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1770756801
QUILLAN B GARRETT
MILWAUKEE, WI
NPI
1770756801
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 11522)
Enumeration Date
2008-04-09
Last Update Date
2008-04-09
Business Address
-- QUILLAN B GARRETT MS CSW CSAC ICS
2319 W CAPITOL DR
MILWAUKEE, WI 53206-1919
Phone number: 414-442-7720
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Mailing Address
-- QUILLAN B GARRETT MS CSW CSAC ICS
2319 W CAPITOL DR
MILWAUKEE, WI 53206-1919
Phone number: 414-442-7720
Copy
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