RICHARD R. DETTLAFF

WAUKESHA, WI
NPI1336299817
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI  1355)
Enumeration Date2007-01-10
Last Update Date2013-12-10
Business Address
MR. RICHARD R. DETTLAFF BS,CSAC
514 RIVERVIEW AVE
WAUKESHA, WI 53188-3631
Phone number: 262-548-7666
Mailing Address
MR. RICHARD R. DETTLAFF BS,CSAC
W168S7024 PARKLAND DR
MUSKEGO, WI 53150-9441
Phone number: 414-422-4707
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