KENNETH GINLACK

MILWAUKEE, WI
NPI1104171479
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  15698-132)
Enumeration Date2012-07-23
Last Update Date2012-07-23
Business Address
Mr. KENNETH GINLACK CSAC
2573 N 52ND ST
MILWAUKEE, WI 53210-2730
Phone number: 414-236-0083
Mailing Address
Mr. KENNETH GINLACK CSAC
2573 N 52ND ST
MILWAUKEE, WI 53210-2730
Phone number: 414-236-0083
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