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1851863302
GLEN VICTOR FLEMING
MILWAUKEE, WI
NPI
1851863302
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 18341-130)
Enumeration Date
2018-12-21
Last Update Date
2018-12-21
Business Address
Mr. GLEN VICTOR FLEMING BA SAC-IT
2821 NORTH 4TH STREET SUITE 210
MILWAUKEE, WI 53212
Phone number: 414-263-6000
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Mailing Address
Mr. GLEN VICTOR FLEMING BA SAC-IT
2821 NORTH 4TH STREET SUITE 210
MILWAUKEE, WI 53212
Phone number: 414-263-6000
Copy
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