STACEY LISIECKI

WAUKESHA, WI
NPI1932695566
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-07-06
Last Update Date2018-07-06
Business Address
STACEY LISIECKI Sac-it
223 WISCONSIN AVE
WAUKESHA, WI 53186-4968
Phone number: 262-549-2121
Mailing Address
STACEY LISIECKI Sac-it
223 WISCONSIN AVE STE A
WAUKESHA, WI 53186-4968
Phone number: 262-549-2121