NICOLE LUCHTERHAND

GREEN BAY, WI
NPI1366069973
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  19175-130)
Enumeration Date2020-06-30
Last Update Date2020-06-30
Business Address
NICOLE LUCHTERHAND SAC-IT
2357 W MASON ST
GREEN BAY, WI 54303-4708
Phone number: 920-337-6740
Mailing Address
NICOLE LUCHTERHAND SAC-IT
2357 W MASON ST
GREEN BAY, WI 54303-4708
Phone number: 920-337-6740
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