DAVID WALTER KINGSFIELD

GREEN BAY, WI
NPI1174869283
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  16049-132)
Enumeration Date2012-12-17
Last Update Date2018-09-12
Business Address
DAVID WALTER KINGSFIELD CSAC CSIT
2357 W MASON ST
GREEN BAY, WI 54303-4708
Phone number: 920-337-6740
Mailing Address
DAVID WALTER KINGSFIELD CSAC CSIT
2357 W MASON ST
GREEN BAY, WI 54303-4708
Phone number: 920-337-6740
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