ALEXANDRIA GRACE VIETH

MILWAUKEE, WI
NPI1043770365
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  18824-130)
Enumeration Date2019-03-22
Last Update Date2019-03-22
Business Address
ALEXANDRIA GRACE VIETH SAC-IT
1610 MILLER PARK WAY
MILWAUKEE, WI 53214-3604
Phone number: 414-672-3801
Mailing Address
ALEXANDRIA GRACE VIETH SAC-IT
1610 MILLER PARK WAY
MILWAUKEE, WI 53214-3604
Phone number: 414-672-3801