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1881802163
TERESA FAHY
MADISON, WI
NPI
1881802163
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 1312)
Enumeration Date
2007-05-18
Last Update Date
2007-07-08
Business Address
-- TERESA FAHY
625 W WASHINGTON AVE
MADISON, WI 53703-2637
Phone number: 608-280-2700
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Mailing Address
-- TERESA FAHY
625 W WASHINGTON AVE
MADISON, WI 53703-2637
Phone number:
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