ROGER P SMITH

GREEN BAY, WI
NPI1114779451
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI  20519)
Enumeration Date2024-04-02
Last Update Date2024-04-02
Business Address
ROGER P SMITH
2357 W MASON ST
GREEN BAY, WI 54303-4708
Phone number: 920-337-6740
Mailing Address
ROGER P SMITH
2357 W MASON ST
GREEN BAY, WI 54303-4708
Phone number: 920-337-6740
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