MERRITT ADAMS

RACINE, WI
NPI1013175868
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  11643 1585)
Enumeration Date2008-05-29
Last Update Date2008-05-29
Business Address
-- MERRITT ADAMS CADCIII
1717 TAYLOR AVE
RACINE, WI 53403-2405
Phone number: 262-632-1780
Mailing Address
-- MERRITT ADAMS CADCIII
524 MAIN STREET SUITE 302
RACINE, WI 53403-1032
Phone number: 262-632-1780
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