SANDRA PETERSON

OSHKOSH, WI
NPI1215180732
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI  1363-132)
Enumeration Date2008-10-28
Last Update Date2008-10-28
Business Address
SANDRA PETERSON
220 WASHINGTON AVE
OSHKOSH, WI 54901-5030
Phone number: 920-236-4600
Mailing Address
SANDRA PETERSON
PO BOX 2187
OSHKOSH, WI 54903-2187
Phone number: 920-236-4600