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1972910362
LARRY STELLOH
MILWAUKEE, WI
NPI
1972910362
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 15850-132)
Enumeration Date
2014-07-17
Last Update Date
2014-07-17
Business Address
-- LARRY STELLOH No. 15850-132
2319 W CAPITOL DR
MILWAUKEE, WI 53206-1919
Phone number: 414-442-2033
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Mailing Address
-- LARRY STELLOH No. 15850-132
2319 W CAPITOL DR
MILWAUKEE, WI 53206-1919
Phone number: 414-442-2033
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