GENEVA FULLER

MILWAUKEE, WI
NPI1235846254
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  19603-130)
Enumeration Date2022-10-31
Last Update Date2022-10-31
Business Address
GENEVA FULLER SAC-IT
1610 MILLER PARK WAY
MILWAUKEE, WI 53214-3604
Phone number: 414-672-3801
Mailing Address
GENEVA FULLER SAC-IT
1610 MILLER PARK WAY
MILWAUKEE, WI 53214-3604
Phone number: 414-672-3801
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