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1831775162
CHARLES L DALE
MILWAUKEE, WI
NPI
1831775162
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Other Name
CHAD DALE
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2021-03-18
Last Update Date
2021-03-18
Business Address
CHARLES L DALE
510 E BURLEIGH ST
MILWAUKEE, WI 53212-2119
Phone number: 800-438-1772
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Mailing Address
CHARLES L DALE
W175N11120 STONEWOOD DR
GERMANTOWN, WI 53022-4799
Phone number: 800-438-1772
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