IDA MARY UMENTUM

GREEN BAY, WI
NPI1811198799
Former NameIDA MARY SCHANEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: WI  888-122)
Enumeration Date2007-05-30
Last Update Date2007-07-08
Business Address
-- IDA MARY UMENTUM MSW
141 SIEGLER ST
GREEN BAY, WI 54303-2635
Phone number: 920-497-3126
Mailing Address
-- IDA MARY UMENTUM MSW
3122 SAVANNA WAY
GREEN BAY, WI 54311-5043
Phone number: 920-321-0387
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