HOLLY GREENE

BEAVER DAM, WI
NPI1861924540
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  18008-130)
Enumeration Date2017-03-31
Last Update Date2017-03-31
Business Address
Mrs. HOLLY GREENE SAC IT
111 WARREN ST SUITE #2
BEAVER DAM, WI 53916-3084
Phone number: 920-219-4440
Mailing Address
Mrs. HOLLY GREENE SAC IT
W207N17003 PARKVIEW CT
JACKSON, WI 53037-9459
Phone number: