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1962697185
MEGAN A WALLACE
MILWAUKEE, WI
NPI
1962697185
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 15367-131)
Enumeration Date
2007-09-11
Last Update Date
2019-12-16
Business Address
MEGAN A WALLACE BA
7330 W LAYTON AVE
MILWAUKEE, WI 53220-3849
Phone number: 414-877-1071
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Mailing Address
MEGAN A WALLACE BA
7330 W LAYTON AVE
MILWAUKEE, WI 53220-3849
Phone number: 414-877-1071
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