EDWIN A CHRISMAN

GREEN BAY, WI
NPI1336372259
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  15695-130)
Enumeration Date2009-08-26
Last Update Date2009-08-26
Business Address
-- EDWIN A CHRISMAN SAC-IT
331 S ADAMS ST
GREEN BAY, WI 54301-4515
Phone number: 920-445-0170
Mailing Address
-- EDWIN A CHRISMAN SAC-IT
331 S ADAMS ST
GREEN BAY, WI 54301-4515
Phone number: 920-445-0170
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