AMELIA KRISTINE GOUGH

WAUSAU, WI
NPI1942077086
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  20449-130)
Enumeration Date2023-12-08
Last Update Date2023-12-08
Business Address
AMELIA KRISTINE GOUGH SAC-IT
210 WASHINGTON ST
WAUSAU, WI 54403-5543
Phone number: 715-845-3637
Mailing Address
AMELIA KRISTINE GOUGH SAC-IT
210 WASHINGTON ST
WAUSAU, WI 54403-5543
Phone number:
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