KENNETH MIDDLEBROOKS

WAUKESHA, WI
NPI1518780758
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  20353-130)
Enumeration Date2024-11-06
Last Update Date2024-11-06
Business Address
KENNETH MIDDLEBROOKS SAC-IT
2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188-6105
Phone number: 262-549-6600
Mailing Address
KENNETH MIDDLEBROOKS SAC-IT
2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188-6105
Phone number: 262-549-6600
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