MASON P SHALLOW

RHINELANDER, WI
NPI1780428979
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  20605-130)
Enumeration Date2024-06-21
Last Update Date2024-06-21
Business Address
MASON P SHALLOW
PO BOX 1550
RHINELANDER, WI 54501-1550
Phone number: 715-362-5745
Mailing Address
MASON P SHALLOW
PO BOX 1550
RHINELANDER, WI 54501-1550
Phone number: 715-362-5745