Gary D Daehn CSAC

NPI 1396911442 - Counselor - 101YA0400X

NPI Details
NPI 1396911442
Gender Male
Enumeration Date 05/07/2008
Last Updated 05/07/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
926 SOUTH 8TH STREET
MANITOWOC WI, 54221-1177, US
Phone (920) 683-4230
Fax (920) 683-4908
Business Location
PO BOX 1177
926 SOUTH 8TH STREET
MANITOWOC WI, 54221-1177, US
Phone (920) 683-4230
Fax (920) 683-4908
Toxanomy
Taxonomy Code 101YA0400X
License State Wisconsin
License Number 1865132
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According to our database, Gary D Daehn CSAC NPI is 1396911442, taxonomy code is 101YA0400X and license number is 1865132, license state is located at Wisconsin. Gary D Daehn CSAC physically located at 926 South 8th Street, Manitowoc WI, 54221-1177. NPI Number Gary D Daehn CSAC has the Individual type.

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1396911442 NPI number is provided on an as is basis without warranty of any kind. 1396911442 is maintained by the National Plan & Provider Enumeration System. The contents of Gary D Daehn CSAC are for informational purposes only.