JEANINE MARIE SHORTREED

GREENFIELD, WI
NPI1699009738
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  15432-131)
Enumeration Date2009-09-22
Last Update Date2009-09-22
Business Address
-- JEANINE MARIE SHORTREED SAC
4325 S 60TH ST #3
GREENFIELD, WI 53220-3508
Phone number: 414-546-0467
Mailing Address
-- JEANINE MARIE SHORTREED SAC
285 N JANACEK RD
BROOKFIELD, WI 53045-6102
Phone number: 262-641-9050