DOROTHY M CRUST

HAYWARD, WI
NPI1366823437
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  15449)
Enumeration Date2015-06-15
Last Update Date2015-07-09
Business Address
-- DOROTHY M CRUST SAC
10610 MAIN ST STE 224
HAYWARD, WI 54843-6586
Phone number: 715-634-4806
Mailing Address
-- DOROTHY M CRUST SAC
10610 MAIN ST STE 224
HAYWARD, WI 54843-6586
Phone number: 715-634-4806
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