Provider First Line Business Practice Location Address:
8618 HWY 51 NORTH
Provider Second Line Business Practice Location Address:
NORTH CENTRAL COUNSELING CENTER
Provider Business Practice Location Address City Name:
MINOCQUA
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
54548
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
715-356-6146
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/30/2007