KURT THOMAS DAUL

GREENFIELD, WI
NPI1639564206
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  17422-130)
Enumeration Date2015-03-31
Last Update Date2015-03-31
Business Address
Mr. KURT THOMAS DAUL
6510 W LAYTON AVE
GREENFIELD, WI 53220-4573
Phone number: 920-530-4718
Mailing Address
Mr. KURT THOMAS DAUL
6510 W LAYTON AVE
GREENFIELD, WI 53220-4573
Phone number: