BRANDON BOE

APPLETON, WI
NPI1558792812
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  16994-130)
Enumeration Date2013-12-11
Last Update Date2013-12-11
Business Address
-- BRANDON BOE SACIT
1000 N LYNNDALE DR SUITE C
APPLETON, WI 54914-3056
Phone number: 920-735-9010
Mailing Address
-- BRANDON BOE SACIT
1000 N LYNNDALE DR SUITE C
APPLETON, WI 54914-3056
Phone number: 920-735-9010
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