JASON DAVIS CRAIG

MADISON, WI
NPI1518459031
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  17140)
Enumeration Date2018-05-31
Last Update Date2018-05-31
Business Address
JASON DAVIS CRAIG SAC-IT
5109 WORLD DAIRY DR
MADISON, WI 53718-3807
Phone number: 608-242-0220
Mailing Address
JASON DAVIS CRAIG SAC-IT
5109 WORLD DAIRY DR
MADISON, WI 53718-3807
Phone number: 608-242-0220
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