JOSEPH WALTER KNOTTS

SUPERIOR, WI
NPI1457576779
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  14604-130)
Enumeration Date2007-04-13
Last Update Date2007-07-08
Business Address
-- JOSEPH WALTER KNOTTS SACIT
1926 E 2ND ST APT. 8
SUPERIOR, WI 54880-3578
Phone number: 715-718-0013
Mailing Address
-- JOSEPH WALTER KNOTTS SACIT
1926 E 2ND ST APT. 8
SUPERIOR, WI 54880-3578
Phone number: 715-718-0013
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