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1811589575
KIANDRA LEWIS
MILWAUKEE, WI
NPI
1811589575
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 19362-130)
Enumeration Date
2021-02-04
Last Update Date
2021-02-04
Business Address
KIANDRA LEWIS SAC-IT
1318 W HADLEY ST
MILWAUKEE, WI 53206-2645
Phone number: 414-899-5252
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Mailing Address
KIANDRA LEWIS SAC-IT
1318 W HADLEY ST
MILWAUKEE, WI 53206-2645
Phone number: 414-899-5252
Copy
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