AMIE MARIE ZAJA

PORTAGE, WI
NPI1801335120
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  16066-132)
Enumeration Date2017-02-20
Last Update Date2017-02-20
Business Address
-- AMIE MARIE ZAJA CSAC
706 E COOK ST
PORTAGE, WI 53901-2313
Phone number: 608-434-3686
Mailing Address
-- AMIE MARIE ZAJA CSAC
706 E COOK ST
PORTAGE, WI 53901-2313
Phone number: 608-434-3686