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1952465783
SUSAN BEVERLY COLLYARD
MILWAUKEE, WI
NPI
1952465783
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Former Name
SUSAN B. BATT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: WI 100-226)
Enumeration Date
2006-12-19
Last Update Date
2013-12-17
Business Address
Miss SUSAN BEVERLY COLLYARD MA
4929 W FOND DU LAC AVE
MILWAUKEE, WI 53216-2324
Phone number: 414-871-6122
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Mailing Address
Miss SUSAN BEVERLY COLLYARD MA
PO BOX 18453
MILWAUKEE, WI 53218-0453
Phone number: 262-617-1258
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