Provider First Line Business Practice Location Address:
COOPER WEISBERG SCHOOL
Provider Second Line Business Practice Location Address:
1807 MISSOURI AVE.
Provider Business Practice Location Address City Name:
SUPERIOR
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
54880-2225
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
715-394-8790
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/26/2007