JAMES EDWARD SUBROD

BURLINGTON, WI
NPI1811269004
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  11645-130)
Enumeration Date2012-02-02
Last Update Date2012-02-02
Business Address
Mr. JAMES EDWARD SUBROD SAC
201 N PINE ST
BURLINGTON, WI 53105-1935
Phone number: 262-767-0441
Mailing Address
Mr. JAMES EDWARD SUBROD SAC
319 W STATE ST
BURLINGTON, WI 53105-1811
Phone number: 262-763-6688
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