KRISTINA MODAFF

MONONA, WI
NPI1861899718
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  15673-131)
Enumeration Date2014-11-20
Last Update Date2014-11-20
Business Address
-- KRISTINA MODAFF
300 FEMRITE DR
MONONA, WI 53716-3716
Phone number: 608-222-7311
Mailing Address
-- KRISTINA MODAFF
300 FEMRITE DR
MONONA, WI 53716-3716
Phone number: 608-222-7311
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