KIM N CONRAD

JANESVILLE, WI
NPI1376711671
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI  11905-134 & 1806-132)
Enumeration Date2008-02-20
Last Update Date2008-02-20
Business Address
MR. KIM N CONRAD CSAC, ICS
612 N RANDALL AVE STE A
JANESVILLE, WI 53545-1958
Phone number: 608-752-7660
Mailing Address
MR. KIM N CONRAD CSAC, ICS
1232 WILSHIRE PL
WAUKESHA, WI 53188-3311
Phone number: 414-416-4777
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