BRIAN WITHROW

APPLETON, WI
NPI1700202892
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  16523-130)
Enumeration Date2014-03-13
Last Update Date2014-03-18
Business Address
-- BRIAN WITHROW
607 WEST 7TH ST.
APPLETON, WI 54911
Phone number: 920-739-3235
Mailing Address
-- BRIAN WITHROW
607 W 7TH ST
APPLETON, WI 54911-5923
Phone number:
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