STEFFAN IMMERFALL

SUPERIOR, WI
NPI1396595302
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MN  cc04264)
Enumeration Date2024-03-25
Last Update Date2024-03-25
Business Address
STEFFAN IMMERFALL
2516 E 7TH ST
SUPERIOR, WI 54880-3832
Phone number: 218-349-6434
Mailing Address
STEFFAN IMMERFALL
2516 E 7TH ST
SUPERIOR, WI 54880-3832
Phone number: 218-349-6434