LARRY STELLOH

MILWAUKEE, WI
NPI1972910362
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  15850-132)
Enumeration Date2014-07-17
Last Update Date2014-07-17
Business Address
-- LARRY STELLOH No. 15850-132
2319 W CAPITOL DR
MILWAUKEE, WI 53206-1919
Phone number: 414-442-2033
Mailing Address
-- LARRY STELLOH No. 15850-132
2319 W CAPITOL DR
MILWAUKEE, WI 53206-1919
Phone number: 414-442-2033