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1841831757
BENETRIA MCGOWAN
WAUWATOSA, WI
NPI
1841831757
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 18981-130)
Enumeration Date
2019-10-01
Last Update Date
2019-10-01
Business Address
BENETRIA MCGOWAN SAC-IT
2222 N MAYFAIR RD STE 120
WAUWATOSA, WI 53226-2262
Phone number: 414-939-9390
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Mailing Address
BENETRIA MCGOWAN SAC-IT
9414 W SHERIDAN AVE APT 1
MILWAUKEE, WI 53225-3331
Phone number:
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