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Individual
MATTHEW CRAM
Active
Individual
MATTHEW CRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
18374-130
WI
101YP2500X
Professional Counselor
Primary
3970
WI
Other
Enumeration date
05/24/2018
Last updated
06/29/2021
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