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1821506981
ROBERT J DAVIS
EAU CLAIRE, WI
NPI
1821506981
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 17487-130)
Enumeration Date
2018-01-11
Last Update Date
2018-01-11
Business Address
ROBERT J DAVIS SAC-IT
2000 N OXFORD AVE STE 2
EAU CLAIRE, WI 54703-5187
Phone number: 715-834-1078
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Mailing Address
ROBERT J DAVIS SAC-IT
559 N DEWEY ST APT 2
EAU CLAIRE, WI 54703-3640
Phone number: 715-450-9460
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