ERIC THORN

WAUKESHA, WI
NPI1487439931
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  20130-130)
Enumeration Date2023-08-31
Last Update Date2023-08-31
Business Address
ERIC THORN
2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188-6105
Phone number: 262-888-8051
Mailing Address
ERIC THORN
6155 S 42ND ST
GREENFIELD, WI 53221-4525
Phone number: