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1770955981
SASIA LILE
RACINE, WI
NPI
1770955981
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI 16017)
Enumeration Date
2015-10-27
Last Update Date
2018-07-06
Business Address
SASIA LILE
1717 TAYLOR AVE
RACINE, WI 53403
Phone number: 262-638-6744
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Mailing Address
SASIA LILE
1717 TAYLOR AVE
RACINE, WI 53403-2405
Phone number: 262-638-6744
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