CROSSROAD THERAPY, LLC

MUKWONAGO, WI
NPI1790161016
Entity TypeOrganization
Authorized ContactFRED MALESEVICH
Owner
262-777-1833
Organization Subpart ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WI  62-123)
Enumeration Date2015-08-10
Last Update Date2015-08-10
Business Address
CROSSROAD THERAPY, LLC
S110W30520 YMCA CAMP RD
MUKWONAGO, WI 53149-9534
Phone number: 262-777-1833
Mailing Address
CROSSROAD THERAPY, LLC
S110W30520 YMCA CAMP RD
MUKWONAGO, WI 53149-9534
Phone number: 262-777-1833
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