BRADLEY RAY HAWBECKER

BELOIT, WI
NPI1235316381
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  15654-131)
Enumeration Date2008-01-30
Last Update Date2011-08-18
Business Address
-- BRADLEY RAY HAWBECKER SAC 15654-131
2240 PRAIRE AVE 10
BELOIT, WI 53511-2940
Phone number: 608-361-7200
Mailing Address
-- BRADLEY RAY HAWBECKER SAC 15654-131
2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188-6105
Phone number: