DANIEL R LEQUIA

GREEN BAY, WI
NPI1619035094
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WI  3392)
Enumeration Date2006-12-05
Last Update Date2009-11-10
Business Address
-- DANIEL R LEQUIA LCSW
3150 GERSHWIN DRIVE
GREEN BAY, WI 54311-5859
Phone number: 920-391-6940
Mailing Address
-- DANIEL R LEQUIA LCSW
3150 GERSHWIN DRIVE
GREEN BAY, WI 54311-5859
Phone number: 920-391-6940
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