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1851812879
TONY GARDNER
MILWAUKEE, WI
NPI
1851812879
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 18230)
Enumeration Date
2017-06-29
Last Update Date
2017-06-29
Business Address
TONY GARDNER SAC-IT
3948 N. 18TH STREET
MILWAUKEE, WI 53206
Phone number: 414-488-9512
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Mailing Address
TONY GARDNER SAC-IT
3948 N 18TH ST
MILWAUKEE, WI 53206-2430
Phone number:
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