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1881314078
BLAKE WILLIAM BARE
MADISON, WI
NPI
1881314078
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: WI 132878-121)
Enumeration Date
2022-08-30
Last Update Date
2022-08-30
Business Address
BLAKE WILLIAM BARE CAPSW
1015 GAMMON LN
MADISON, WI 53719-2210
Phone number: 608-417-8144
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Mailing Address
BLAKE WILLIAM BARE CAPSW
428 W WILSON ST
MADISON, WI 53703-3614
Phone number: 920-253-9204
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