DONAVON KRUEGER

RACINE, WI
NPI1174128904
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-12-01
Last Update Date2020-12-01
Business Address
DONAVON KRUEGER CTRS
1320 WISCONSIN AVE
RACINE, WI 53403-1978
Phone number: 262-687-2132
Mailing Address
DONAVON KRUEGER CTRS
1320 WISCONSIN AVE
RACINE, WI 53403-1978
Phone number: 262-687-2132