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Individual
SAMMY JOE RANGEL
Active
Individual
SAMMY JOE RANGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14088-132
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14088-132
STATE OF WISCONSIN DEPARTMENT OF REGULATION AND LICENSING
WI
Enumeration date
09/16/2008
Last updated
09/16/2008
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