ELIJAH LAKE KRAMER

MILWAUKEE, WI
NPI1992231203
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  18163)
Enumeration Date2017-05-05
Last Update Date2017-05-05
Business Address
-- ELIJAH LAKE KRAMER SAC-IT
5325 W BURLEIGH ST
MILWAUKEE, WI 53210-1623
Phone number: 414-488-9512
Mailing Address
-- ELIJAH LAKE KRAMER SAC-IT
1016 MARY ST APT 4
WATERTOWN, WI 53094-6747
Phone number: 920-285-2453
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