JOHN GANONG

NEW RICHMOND, WI
NPI1922277508
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  1752-132)
Enumeration Date2008-02-27
Last Update Date2008-02-27
Business Address
-- JOHN GANONG CSAC
1445 N 4TH ST
NEW RICHMOND, WI 54017-1063
Phone number: 715-246-6991
Mailing Address
-- JOHN GANONG CSAC
1445 N 4TH ST
NEW RICHMOND, WI 54017-1063
Phone number: 715-246-6991
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