HEATHER MARIE MARTIN

APPLETON, WI
NPI1770883043
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  16145-130)
Enumeration Date2010-11-02
Last Update Date2010-11-02
Business Address
Miss HEATHER MARIE MARTIN SAC-IT
4000 W SPENCER ST
APPLETON, WI 54914-4015
Phone number: 920-735-9010
Mailing Address
Miss HEATHER MARIE MARTIN SAC-IT
4000 W SPENCER ST
APPLETON, WI 54914-4015
Phone number: 920-735-9010