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Individual
CHARLES LAMONT LINYARD III
Active
Individual
CHARLES LAMONT LINYARD III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SAC-IT
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18744-130
WI
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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