ELAINE JEAN DOXTATOR

GREEN BAY, WI
NPI1043700115
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  18545-130)
Enumeration Date2018-05-15
Last Update Date2018-05-15
Business Address
ELAINE JEAN DOXTATOR SAC-IT
1701 DOUSMAN ST
GREEN BAY, WI 54303-3211
Phone number: 920-593-5630
Mailing Address
ELAINE JEAN DOXTATOR SAC-IT
1701 DOUSMAN ST
GREEN BAY, WI 54303-3211
Phone number: 920-593-5630
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