BECKY L FAWLEY

MENASHA, WI
NPI1407284169
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  16466)
Enumeration Date2013-10-16
Last Update Date2021-07-28
Business Address
BECKY L FAWLEY SAC
1095 MIDWAY RD
MENASHA, WI 54952-1115
Phone number: 920-720-3700
Mailing Address
BECKY L FAWLEY SAC
1095 MIDWAY RD
MENASHA, WI 54952-1115
Phone number: 920-720-2300
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