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1811217136
LEE F. MCMENAMIN
EAU CLAIRE, WI
NPI
1811217136
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 15977-130)
Enumeration Date
2010-06-09
Last Update Date
2010-06-09
Business Address
Mr. LEE F. MCMENAMIN AODA
211 EAU CLAIRE ST
EAU CLAIRE, WI 54701-3662
Phone number: 715-855-1373
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Mailing Address
Mr. LEE F. MCMENAMIN AODA
211 EAU CLAIRE ST
EAU CLAIRE, WI 54701-3662
Phone number: 715-855-1373
Copy
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