TERRI LEE WALLOW

MOUNT PLEASANT, WI
NPI1568023943
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-06-26
Last Update Date2019-06-26
Business Address
TERRI LEE WALLOW SACIT
5735 DURAND AVE
MOUNT PLEASANT, WI 53406-5011
Phone number: 262-598-1392
Mailing Address
TERRI LEE WALLOW SACIT
5735 DURAND AVE
MOUNT PLEASANT, WI 53406-5011
Phone number: 262-598-1392
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