SUSAN I QUIRICONI

PORTAGE, WI
NPI1013946987
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WI  568-122)
Enumeration Date2006-07-02
Last Update Date2007-07-08
Business Address
-- SUSAN I QUIRICONI MSW CICSW
2901 HUNTERS TRL
PORTAGE, WI 53901-3403
Phone number: 608-742-5518
Mailing Address
-- SUSAN I QUIRICONI MSW CICSW
PO BOX 301
PORTAGE, WI 53901-0301
Phone number: 608-742-5518