LAWRENCE RICHARD HUCK

MANITOWOC, WI
NPI1255083382
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  19473-130)
Enumeration Date2022-01-20
Last Update Date2022-01-20
Business Address
LAWRENCE RICHARD HUCK
3733 DEWEY ST
MANITOWOC, WI 54220-5844
Phone number: 920-663-1035
Mailing Address
LAWRENCE RICHARD HUCK
3 RIVERVIEW DR
MANITOWOC, WI 54220-3767
Phone number: 920-663-1035