ADAM SHORT

BARABOO, WI
NPI1720543226
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: WI  3337226)
Enumeration Date2019-02-08
Last Update Date2019-02-08
Business Address
ADAM SHORT
727 8TH ST
BARABOO, WI 53913-1794
Phone number: 608-477-8364
Mailing Address
ADAM SHORT
727 8TH ST
BARABOO, WI 53913-1794
Phone number: