TRISTAN ALBERT ERTMAN

KIEL, WI
NPI1780262840
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  19029-130)
Enumeration Date2021-03-31
Last Update Date2021-03-31
Business Address
TRISTAN ALBERT ERTMAN SAC-IT
530 STATE ROAD 67
KIEL, WI 53042-1650
Phone number: 920-894-1374
Mailing Address
TRISTAN ALBERT ERTMAN SAC-IT
530 STATE ROAD 67
KIEL, WI 53042-1650
Phone number: 920-894-1374
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