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1891376521
ERMELIO D FERRA HERNANDEZ
MADISON, WI
NPI
1891376521
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 19422)
Enumeration Date
2021-04-15
Last Update Date
2021-04-15
Business Address
ERMELIO D FERRA HERNANDEZ SAC-IT
151 E BADGER RD
MADISON, WI 53713-2725
Phone number: 608-250-2512
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Mailing Address
ERMELIO D FERRA HERNANDEZ SAC-IT
151 E BADGER RD
MADISON, WI 53713-2725
Phone number: 608-250-2512
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