ANDREA AIKENS

KENOSHA, WI
NPI1760914865
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  17585-130)
Enumeration Date2017-03-29
Last Update Date2017-03-29
Business Address
-- ANDREA AIKENS
2108 63RD ST
KENOSHA, WI 53143-4454
Phone number: 262-652-2406
Mailing Address
-- ANDREA AIKENS
2108 63RD ST
KENOSHA, WI 53143-4454
Phone number: 262-652-2406
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