JONATHAN PHILLIP

NEENAH, WI
NPI1154497428
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  195-123)
Enumeration Date2006-11-28
Last Update Date2007-07-08
Business Address
-- JONATHAN PHILLIP
211 N COMMERCIAL ST
NEENAH, WI 54956-2616
Phone number: 920-236-4600
Mailing Address
-- JONATHAN PHILLIP
PO BOX 2187
OSHKOSH, WI 54903-2187
Phone number: 920-236-4600
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