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1821436973
RAYMOND K SPADE
BELOIT, WI
NPI
1821436973
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 16737130)
Enumeration Date
2013-06-11
Last Update Date
2014-12-30
Business Address
Mr. RAYMOND K SPADE SAC
2240 PRAIRIE AVE.
BELOIT, WI 53511
Phone number: 608-361-7200
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Mailing Address
Mr. RAYMOND K SPADE SAC
2240 PRAIRIE AVE
BELOIT, WI 53511-2648
Phone number: 608-361-7200
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