Provider First Line Business Practice Location Address:
735 E WALNUT ST
Provider Second Line Business Practice Location Address:
MARRIAGE & FAMILY THERAPY CENTER
Provider Business Practice Location Address City Name:
GREEN BAY
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
54301
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
920-432-8777
Provider Business Practice Location Address Fax Number:
920-435-0749
Provider Enumeration Date:
09/21/2006