JACOB P SPANGENBERG

GREEN BAY, WI
NPI1043510084
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  15832-132)
Enumeration Date2010-10-25
Last Update Date2014-12-02
Business Address
Mr. JACOB P SPANGENBERG CSAC
2979 ALLIED ST UNIT C
GREEN BAY, WI 54304-5567
Phone number: 920-337-6740
Mailing Address
Mr. JACOB P SPANGENBERG CSAC
2979 ALLIED ST UNIT C
GREEN BAY, WI 54304-5567
Phone number: 920-337-6740
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