MICHAEL G. FROST

MENASHA, WI
NPI1003950965
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-02-16
Last Update Date2007-07-08
Business Address
Mr. MICHAEL G. FROST RADCI
1201 TUCKAWAY LN
MENASHA, WI 54952-1704
Phone number: 920-733-4443
Mailing Address
Mr. MICHAEL G. FROST RADCI
936 GREEN ST
SEYMOUR, WI 54165-1616
Phone number: 920-833-7085
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