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1922622349
JORDAN J DENNISON
MADISON, WI
NPI
1922622349
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 19162)
Enumeration Date
2020-06-01
Last Update Date
2020-06-01
Business Address
JORDAN J DENNISON M.S., SAC-IT, LPC-IT
49 KESSEL CT
MADISON, WI 53711-6200
Phone number: 608-280-2520
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Mailing Address
JORDAN J DENNISON M.S., SAC-IT, LPC-IT
25 KESSEL CT
MADISON, WI 53711-6227
Phone number: 608-280-2520
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