TIODOLO DELAGARZA

MILWAUKEE, WI
NPI1962818542
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  17036-130)
Enumeration Date2014-07-03
Last Update Date2014-07-03
Business Address
-- TIODOLO DELAGARZA SAC-IT
1111 S 6TH ST
MILWAUKEE, WI 53204-2301
Phone number: 414-643-8530
Mailing Address
-- TIODOLO DELAGARZA SAC-IT
1111 S 6TH ST
MILWAUKEE, WI 53204-2301
Phone number: 414-643-8530
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