JAMES EDWARD REIDER

APPLETON, WI
NPI1720351729
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  16389-130)
Enumeration Date2012-02-22
Last Update Date2012-02-22
Business Address
Mr. JAMES EDWARD REIDER SAC-IT
3301 3301 N. BALLARD ROAD
APPLETON, WI 54911-9002
Phone number: 920-733-4443
Mailing Address
Mr. JAMES EDWARD REIDER SAC-IT
1324 W ELSNER RD
APPLETON, WI 54913-9705
Phone number: 920-475-9469
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