KENNETH A SIECZKOWSKI

ELM GROVE, WI
NPI1154473809
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI  13092)
Enumeration Date2007-01-16
Last Update Date2007-07-08
Business Address
MR. KENNETH A SIECZKOWSKI CADC-III
12970 W BLUEMOUND RD 308
ELM GROVE, WI 53122-2607
Phone number: 262-780-1020
Mailing Address
MR. KENNETH A SIECZKOWSKI CADC-III
12970 W BLUEMOUND RD 308
ELM GROVE, WI 53122-2607
Phone number: 262-780-1020
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