JERRY MORRIS

RACINE, WI
NPI1881067197
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  17429-130)
Enumeration Date2015-11-09
Last Update Date2015-11-09
Business Address
-- JERRY MORRIS SAC-IT
1303 CHATHAM ST
RACINE, WI 53402-4947
Phone number: 262-598-1392
Mailing Address
-- JERRY MORRIS SAC-IT
1303 CHATHAM ST
RACINE, WI 53402-4947
Phone number: 262-589-1392
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