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1861046146
LISA MARIE ORTIZ
MILWAUKEE, WI
NPI
1861046146
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 18874-130)
Enumeration Date
2019-07-25
Last Update Date
2019-07-25
Business Address
Ms. LISA MARIE ORTIZ
3336 S 76TH ST
MILWAUKEE, WI 53219-3805
Phone number: 414-629-6043
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Mailing Address
Ms. LISA MARIE ORTIZ
3336 S 76TH ST
MILWAUKEE, WI 53219-3805
Phone number: 414-629-6043
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