STEPHANIE ISHAM

EAU CLAIRE, WI
NPI1578912762
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  160217)
Enumeration Date2016-06-08
Last Update Date2016-06-08
Business Address
-- STEPHANIE ISHAM
3440 OAKWOOD HILLS PKWY
EAU CLAIRE, WI 54701-7698
Phone number: 800-380-8273
Mailing Address
-- STEPHANIE ISHAM
3440 OAKWOOD HILLS PKWY
EAU CLAIRE, WI 54701
Phone number: