DANIEL DEAN COUSINS

HAYWARD, WI
NPI1760782619
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  15562-131)
Enumeration Date2010-10-26
Last Update Date2016-12-19
Business Address
Mr. DANIEL DEAN COUSINS MSW, CSAC, IDP-AT
15617 US HIGHWAY 63
HAYWARD, WI 54843-4244
Phone number: 715-634-4673
Mailing Address
Mr. DANIEL DEAN COUSINS MSW, CSAC, IDP-AT
15617 US HIGHWAY 63 P.O. BOX 800
HAYWARD, WI 54843-4244
Phone number: 715-634-4673
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