ISAAC KALLIES PABST

OSHKOSH, WI
NPI1790063337
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  16339130)
Enumeration Date2011-08-01
Last Update Date2011-08-01
Business Address
-- ISAAC KALLIES PABST
2839 WYLDEWOOD RD
OSHKOSH, WI 54904-9225
Phone number: 920-226-1900
Mailing Address
-- ISAAC KALLIES PABST
2839 WYLDEWOOD RD
OSHKOSH, WI 54904
Phone number: 920-226-1900
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