MALLORY BARBARA HERRIN

APPLETON, WI
NPI1477845147
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  16148-130)
Enumeration Date2011-05-12
Last Update Date2011-05-12
Business Address
-- MALLORY BARBARA HERRIN SAC-IT
820 W. COLLEGE AVE
APPLETON, WI 54914
Phone number: 920-730-1323
Mailing Address
-- MALLORY BARBARA HERRIN SAC-IT
820 W COLLEGE AVE
APPLETON, WI 54914-5286
Phone number: 920-730-1323
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