CHARLES LAMONT LINYARD

WEST ALLIS, WI
NPI1528734357
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  18744-130)
Enumeration Date2021-08-20
Last Update Date2021-08-20
Business Address
CHARLES LAMONT LINYARD SAC-IT
2814 S 108TH ST
WEST ALLIS, WI 53227-3224
Phone number: 414-885-3525
Mailing Address
CHARLES LAMONT LINYARD SAC-IT
2814 S 108TH ST
WEST ALLIS, WI 53227-3224
Phone number: 414-885-3525