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1902874803
CHARLENE BENFORD
MADISON, WI
NPI
1902874803
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 131)
Enumeration Date
2006-03-08
Last Update Date
2007-07-08
Business Address
-- CHARLENE BENFORD CADC III
25 KESSEL CT #200
MADISON, WI 53711-6227
Phone number: 608-278-8200
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Mailing Address
-- CHARLENE BENFORD CADC III
8007 EXCELSIOR DR
MADISON, WI 53717-1962
Phone number: 608-829-5238
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