DANIEL P SHINE

WAUSAU, WI
NPI1114469095
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  16237)
Enumeration Date2016-11-09
Last Update Date2017-11-16
Business Address
DANIEL P SHINE CSAC
1100 LAKE VIEW DR
WAUSAU, WI 54403-6785
Phone number: 715-848-4600
Mailing Address
DANIEL P SHINE CSAC
1100 LAKE VIEW DR
WAUSAU, WI 54403-6785
Phone number: 715-848-4600
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