BRUCE A WILBER

GRESHAM, WI
NPI1003063157
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  15433131)
Enumeration Date2008-08-20
Last Update Date2008-08-20
Business Address
-- BRUCE A WILBER SAC
N2150 KESAEHKAHTEK RD
GRESHAM, WI 54128-9602
Phone number: 715-799-3835
Mailing Address
-- BRUCE A WILBER SAC
N2150 KESAEHKAHTEK RD
GRESHAM, WI 54128-9602
Phone number: 715-799-3835