COURTNEY BALTHAZOR

MANITOWOC, WI
NPI1053037333
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  20064130)
Enumeration Date2022-10-18
Last Update Date2022-10-18
Business Address
COURTNEY BALTHAZOR SAC-IT
3 RIVERVIEW DR
MANITOWOC, WI 54220-3767
Phone number: 920-663-1035
Mailing Address
COURTNEY BALTHAZOR SAC-IT
1111 S 9TH ST APT B
MANITOWOC, WI 54220-5342
Phone number: 920-344-7602
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