SANDRA J. MALONE

KENOSHA, WI
NPI1265642714
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI  10893-132)
Enumeration Date2007-05-23
Last Update Date2008-06-30
Business Address
SANDRA J. MALONE CSAC
2108 63RD ST
KENOSHA, WI 53143-4454
Phone number: 262-652-2406
Mailing Address
SANDRA J. MALONE CSAC
6233 39TH AVE
KENOSHA, WI 53142-7015
Phone number: 262-654-1004
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