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1790315711
MICHAEL ADAM STASZEWSKI
BROWN DEER, WI
NPI
1790315711
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 18712-130)
Enumeration Date
2020-01-17
Last Update Date
2020-01-17
Business Address
Mr. MICHAEL ADAM STASZEWSKI SAC-IT
4550 W BRADLEY RD
BROWN DEER, WI 53223-3713
Phone number: 414-371-1600
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Mailing Address
Mr. MICHAEL ADAM STASZEWSKI SAC-IT
4300 S 60TH ST APT 206
GREENFIELD, WI 53220-3185
Phone number: 414-366-7772
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