Tricia Ann Kerker SAC

NPI 1063796506 - Counselor - 101YA0400X

NPI Details
NPI 1063796506
Gender Female
Enumeration Date 10/03/2011
Last Updated 10/03/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
1701 DOUSMAN ST
GREEN BAY WI, 54303-3211, US
Phone (920) 498-8600
Fax
Business Location
1701 DOUSMAN ST
GREEN BAY WI, 54303-3211, US
Phone (920) 498-8600
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State Wisconsin
License Number 15606-131
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According to our database, Mrs. Tricia Ann Kerker SAC NPI is 1063796506, taxonomy code is 101YA0400X and license number is 15606-131, license state is located at Wisconsin. Tricia Ann Kerker SAC physically located at 1701 Dousman St, Green Bay WI, 54303-3211. NPI Number Tricia Ann Kerker SAC has the Individual type.

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1063796506 NPI number is provided on an as is basis without warranty of any kind. 1063796506 is maintained by the National Plan & Provider Enumeration System. The contents of Tricia Ann Kerker SAC are for informational purposes only.