MARY MICELI-WINK

GREEN BAY, WI
NPI1205167426
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  1198)
Enumeration Date2010-01-28
Last Update Date2010-01-28
Business Address
-- MARY MICELI-WINK CSAC
3150 GERSHWIN DRIVE
GREEN BAY, WI 54311-5859
Phone number: 920-391-6940
Mailing Address
-- MARY MICELI-WINK CSAC
3150 GERSHWIN DRIVE
GREEN BAY, WI 54311-5859
Phone number: 920-391-6940