ELLEN GREEN

ELKHORN, WI
NPI1689697831
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI  11309)
Enumeration Date2006-07-26
Last Update Date2008-01-02
Business Address
ELLEN GREEN CADC III, CCS
797 E GENEVA ST
ELKHORN, WI 53121-2303
Phone number: 262-723-1455
Mailing Address
ELLEN GREEN CADC III, CCS
285 N JANACEK RD
BROOKFIELD, WI 53045-6102
Phone number: 262-641-9050
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