SAMANTHA ROSE KOEHN

GREEN BAY, WI
NPI1033697800
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI  18608-130)
Enumeration Date2018-08-02
Last Update Date2018-08-02
Business Address
MS. SAMANTHA ROSE KOEHN SAC-IT
1701 DOUSMAN ST
GREEN BAY, WI 54303-3211
Phone number: 920-498-8600
Mailing Address
MS. SAMANTHA ROSE KOEHN SAC-IT
1701 DOUSMAN ST
GREEN BAY, WI 54303-3211
Phone number: 920-498-8600