LORI ANNE DECARLO-KIENITZ

ASHLAND, WI
NPI1023138112
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI  14014-132)
Enumeration Date2007-03-30
Last Update Date2007-07-09
Business Address
LORI ANNE DECARLO-KIENITZ CSAC
502 MAIN ST W STE 305
ASHLAND, WI 54806-1512
Phone number: 715-682-5207
Mailing Address
LORI ANNE DECARLO-KIENITZ CSAC
201 E PINE ST
IRONWOOD, MI 49938-2823
Phone number: 906-932-4329
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