MICHAEL DEBRUIN

APPLETON, WI
NPI1174293658
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  19245-130)
Enumeration Date2021-09-16
Last Update Date2021-09-16
Business Address
MICHAEL DEBRUIN SAC-IT
201 S GLENRIDGE CT
APPLETON, WI 54914-3905
Phone number: 414-552-8427
Mailing Address
MICHAEL DEBRUIN SAC-IT
201 S GLENRIDGE CT
APPLETON, WI 54914-3905
Phone number: 414-552-8427
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