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1790536647
PATRICK LONERGAN
WAUKESHA, WI
NPI
1790536647
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 20475)
Enumeration Date
2024-03-28
Last Update Date
2024-03-28
Business Address
PATRICK LONERGAN SAC-IT
255 W BROADWAY
WAUKESHA, WI 53186-4832
Phone number: 262-420-9088
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Mailing Address
PATRICK LONERGAN SAC-IT
255 W BROADWAY
WAUKESHA, WI 53186-4832
Phone number: 262-420-9088
Copy
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