Provider First Line Business Practice Location Address:
675 N BROOKFIELD RD STE 103
Provider Second Line Business Practice Location Address:
SUBURBAN COUNSELING SERVICES
Provider Business Practice Location Address City Name:
BROOKFIELD
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53045-5858
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
262-391-4892
Provider Business Practice Location Address Fax Number:
262-789-8759
Provider Enumeration Date:
09/20/2006