BRUCE DAVIS

APPLETON, WI
NPI1922323344
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  15538-131)
Enumeration Date2010-03-29
Last Update Date2010-03-29
Business Address
-- BRUCE DAVIS SAC
4000 W SPENCER ST
APPLETON, WI 54914-4015
Phone number: 920-735-9010
Mailing Address
-- BRUCE DAVIS SAC
4000 W. SPENCER ST.
APPLETON, WI 54914
Phone number: 920-735-9010
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