RAYMOND K SPADE

BELOIT, WI
NPI1821436973
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  16737130)
Enumeration Date2013-06-11
Last Update Date2014-12-30
Business Address
Mr. RAYMOND K SPADE SAC
2240 PRAIRIE AVE.
BELOIT, WI 53511
Phone number: 608-361-7200
Mailing Address
Mr. RAYMOND K SPADE SAC
2240 PRAIRIE AVE
BELOIT, WI 53511-2648
Phone number: 608-361-7200