RUSSELL JOHN DENOMIE

ASHLAND, WI
NPI1063046431
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-02-25
Last Update Date2020-02-25
Business Address
RUSSELL JOHN DENOMIE
53585 NOKOMIS RD
ASHLAND, WI 54806-4272
Phone number: 715-682-7133
Mailing Address
RUSSELL JOHN DENOMIE
53585 NOKOMIS RD
ASHLAND, WI 54806-4272
Phone number: 715-682-7133
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