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1811697030
MELISA A HAYBURN
MILWAUKEE, WI
NPI
1811697030
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 20188-130)
Enumeration Date
2023-03-07
Last Update Date
2023-03-07
Business Address
MELISA A HAYBURN SAC-IT
1610 MILLER PARK WAY
MILWAUKEE, WI 53214-3604
Phone number: 414-672-3801
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Mailing Address
MELISA A HAYBURN SAC-IT
1610 MILLER PARK WAY
MILWAUKEE, WI 53214-3604
Phone number: 414-672-3801
Copy
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