CALVIN JAMES BRACE

MADISON, WI
NPI1780040543
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  17156-130)
Enumeration Date2016-01-11
Last Update Date2016-01-11
Business Address
-- CALVIN JAMES BRACE SAC-IT
151 E BADGER RD SUITE A
MADISON, WI 53713-2708
Phone number: 608-250-2512
Mailing Address
-- CALVIN JAMES BRACE SAC-IT
151 E BADGER RD SUITE A
MADISON, WI 53713-2708
Phone number:
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