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1841658036
EARLE R EDWARDS
MADISON, WI
NPI
1841658036
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 16033)
Enumeration Date
2016-02-03
Last Update Date
2016-02-03
Business Address
-- EARLE R EDWARDS SAC
2914 INDUSTRIAL DR
MADISON, WI 53713-4047
Phone number: 608-223-3311
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Mailing Address
-- EARLE R EDWARDS SAC
2914 INDUSTRIAL DR
MADISON, WI 53713-4047
Phone number:
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