Kenneth A Sieczkowski CADC-III

NPI 1154473809 - Counselor - 101YA0400X

NPI Details
NPI 1154473809
Gender Male
Enumeration Date 01/16/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
12970 W BLUEMOUND RD
308
ELM GROVE WI, 53122-2607, US
Phone (262) 780-1020
Fax (262) 780-1022
Business Location
12970 W BLUEMOUND RD
308
ELM GROVE WI, 53122-2607, US
Phone (262) 780-1020
Fax (262) 780-1022
Toxanomy
Taxonomy Code 101YA0400X
License State Wisconsin
License Number 13092
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According to our database, Mr. Kenneth A Sieczkowski CADC-III NPI is 1154473809, taxonomy code is 101YA0400X and license number is 13092, license state is located at Wisconsin. Kenneth A Sieczkowski CADC-III physically located at 12970 W Bluemound Rd, Elm Grove WI, 53122-2607. NPI Number Kenneth A Sieczkowski CADC-III has the Individual type.

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1154473809 NPI number is provided on an as is basis without warranty of any kind. 1154473809 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth A Sieczkowski CADC-III are for informational purposes only.