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1922781723
THERESA CONYBEAR
MADISON, WI
NPI
1922781723
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 19477)
Enumeration Date
2023-08-08
Last Update Date
2023-08-08
Business Address
THERESA CONYBEAR SAC-IT
210 E OLIN AVE
MADISON, WI 53713-1434
Phone number: 608-807-1428
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Mailing Address
THERESA CONYBEAR SAC-IT
210 E OLIN AVE
MADISON, WI 53713-1434
Phone number: 608-807-1428
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