AUTUMN VICTORIA WILBUR

NEGAUNEE, MI
NPI1689191322
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-08-24
Last Update Date2017-08-24
Business Address
AUTUMN VICTORIA WILBUR BS
104 MALTON ROAD
NEGAUNEE, MI 49866
Phone number: 906-228-4692
Mailing Address
AUTUMN VICTORIA WILBUR BS
104 MALTON RD
NEGAUNEE, MI 49866-2000
Phone number: