Individual
ALICIA NEITZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23 W SCOTT ST, FOND DU LAC, WI 54935
(920) 926-0101
Mailing address
267 E MAIN ST, CAMPBELLSPORT, WI 53010-2703
(920) 533-5073
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
WI
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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