DEREK R THRUMAN

MILWAUKEE, WI
NPI1033685540
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  18688-130)
Enumeration Date2018-10-23
Last Update Date2018-10-23
Business Address
DEREK R THRUMAN SAC-IT
1610 MILLER PARK WAY
MILWAUKEE, WI 53214-3604
Phone number: 414-939-7556
Mailing Address
DEREK R THRUMAN SAC-IT
1610 MILLER PARK WAY
MILWAUKEE, WI 53214-3604
Phone number:
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