DARRYL RAY WHEELER

GREEN BAY, WI
NPI1801188271
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  15393-132)
Enumeration Date2011-05-04
Last Update Date2011-09-02
Business Address
Mr. DARRYL RAY WHEELER CSAC
2979 ALLIED ST
GREEN BAY, WI 54304-5567
Phone number: 262-549-6600
Mailing Address
Mr. DARRYL RAY WHEELER CSAC
2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188-6105
Phone number: 262-549-6600
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