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1891820155
DARRELL NEAL
MILWAUKEE, WI
NPI
1891820155
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 14425-132)
Enumeration Date
2007-02-23
Last Update Date
2007-07-09
Business Address
-- DARRELL NEAL
4383 N 27TH ST
MILWAUKEE, WI 53216-1809
Phone number: 414-871-8883
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Mailing Address
-- DARRELL NEAL
1113 COLLEGE AVE
RACINE, WI 53403-1963
Phone number:
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