SHEREESE CLARK

WAUKESHA, WI
NPI1194026013
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  16003-130)
Enumeration Date2010-11-09
Last Update Date2010-11-09
Business Address
-- SHEREESE CLARK SAC-IT
2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188-6105
Phone number: 262-549-6600
Mailing Address
-- SHEREESE CLARK SAC-IT
1610 MILLER PARK WAY
MILWAUKEE, WI 53214-3604
Phone number: 262-549-6600